NICOLE LYNN ATWOOD AGACNP
NPI 1811322209
Nurse Practitioner - Gerontology in Springfield, IL

Q: What is Nicole Atwood's NPI number?

The NPI number for Nicole Atwood is 1811322209. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Q: What is Nicole Atwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Atwood was last updated on October 16, 2020. 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.

Active since September 04, 2013PECOS EnrolledAccepts Medicare Assignment

751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7363 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2020, Oct 9, 2018 (2 updates tracked since 2018).

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About Nicole Lynn Atwood Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LYNN ATWOOD AGACNP (NPI 1811322209) is an individual gerontology provider in Springfield, Illinois, licensed in Illinois (209.010663) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1811322209

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameNICOLE LYNN ATWOODCredential: AGACNP

Location Address751 N RUTLEDGE ST STE 3100Springfield, IL 62702-4968

Mailing AddressPo Box 19643Springfield, IL 62794-9643 · (217) 545-8000 · Fax (217) 545-7363

Phone(217) 545-8000

Fax(217) 545-7363

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 4, 2013

Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration

NPPES CertifiedOctober 16, 2020

✔ NPI 1811322209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209.010663

751 N RUTLEDGE ST STE 3100, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Lynn Atwood Agacnp 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.

PECOS PAC ID42440851

PECOS Enrollment IDI20140222000390

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB M MONSIVAIS PA-C

Physician Assistant (Medical)