NICOLE VETTER APN
NPI 1821548207
Nurse Practitioner - Family in Breese, IL

Q: What is Nicole Vetter's NPI number?

The NPI number for Nicole Vetter is 1821548207. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Q: What is Nicole Vetter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Vetter was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 10, 2016PECOS EnrolledAccepts Medicare Assignment

9401 HOLY CROSS LN STE 112, BREESE, IL 62230(618) 526-7271(618) 526-7313 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, Nov 13, 2020, Oct 10, 2016 (3 updates tracked since 2016).

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About Nicole Vetter Apn NPPES

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

NICOLE VETTER APN (NPI 1821548207) is an individual family provider in Breese, Illinois, licensed in Illinois (209014929) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Mount Vernon.

NPPES Registry Identity

NPI1821548207

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE VETTERCredential: APN

Location Address9401 HOLY CROSS LN STE 112Breese, IL 62230-3510

Mailing Address9401 Holy Cross Ln Ste 112Breese, IL 62230-3510 · (618) 526-7271 · Fax (618) 526-7313

Phone(618) 526-7271

Fax(618) 526-7313

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 10, 2016

Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1821548207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209014929

9401 HOLY CROSS LN STE 112, Breese, IL 62230

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Secondary Practice Location 1

Location 12 Good Samaritan Way, Medical Plaza Suite 420Mount Vernon, IL 62864-2408 · Phone (618) 899-4000 · Fax (618) 899-4790

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 Vetter Apn 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 ID143508549

PECOS Enrollment IDI20161104000661

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 5

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.

203 services138 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services76 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

92 services92 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

25 services20 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140145

Location9515 Holy Cross LnBreese, IL 62230 · Clinton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62230 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

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Other Providers at the Same Location NPPES 13

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

EMILY RHOADES NP

Nurse Practitioner