MS. NICOLE MARIE TILLMAN MACCC-SLP
NPI 1780065235
Speech-Language Pathologist in Cape Girardeau, MO
About Ms. Nicole Marie Tillman Maccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NICOLE MARIE TILLMAN MACCC-SLP (NPI 1780065235) is an individual speech-language pathologist provider in Cape Girardeau, Missouri, licensed in Missouri (2009013299) and active in the NPI registry since June 2015. She is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Nicole Marie Tillman Maccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Tillman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 21 clinicians in this Medicare group
Lake Charles, LA 70601
- Reassigned Medicare billing, Missouri enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAPE GIRARDEAU, MO 63701
CAPE GIRARDEAU, MO 63701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Tillman's NPI number?
The NPI number for Nicole Tillman is 1780065235. It was assigned to this individual provider in the NPPES registry on June 10, 2015.
Where is Nicole Tillman located?
Nicole Tillman practices at 2001 N Kingshighway St, Cape Girardeau, MO 63701. The listed phone number is (573) 335-1999.
What is Nicole Tillman's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Nicole Tillman enrolled in Medicare?
Yes. Nicole Tillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicole Tillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Tillman reassigns Medicare benefits to 2 organizations: Powerback Rehabilitation LLC (Festus, MO) and Synergy Care Southeast, LLC (Lake Charles, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Tillman was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Nicole Marie Tillman, MACCC-SLP · NPI 1780065235
Speech-Language Pathologist provider in Cape Girardeau, Missouri. Individual provider, active in the CMS NPPES registry since June 10, 2015.
## Identity
- **NPI:** 1780065235 (Entity type: Individual)
- **Enumerated:** June 10, 2015
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 2009013299 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 N KINGSHIGHWAY ST, Cape Girardeau, MO 63701-2127
- **Phone:** (573) 335-1999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Powerback Rehabilitation LLC (NPI 1174344063, Festus, MO); Synergy Care Southeast, LLC (NPI 1427466614, Lake Charles, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1780065235) · Data from the CMS NPPES public registry.