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NICOLE DECOUDRES PA-C
NPI 1861745952
Physician Assistant in Melrose Park, IL

Active since October 26, 2012PECOS EnrolledAccepts Medicare Assignment
675 W NORTH AVE STE 104, MELROSE PARK, IL 60160(706) 681-7695 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicole Decoudres Pa-c NPPES

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

NICOLE DECOUDRES PA-C (NPI 1861745952) is an individual physician assistant in Melrose Park, Illinois, licensed in Illinois (085004485) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861745952
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE DECOUDRESCredential: PA-C
Location Address675 W NORTH AVE STE 104Melrose Park, IL 60160-1622
Mailing Address675 W North Ave Ste 104Melrose Park, IL 60160-1622 · (708) 681-7695
Phone(706) 681-7695
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 26, 2012
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1861745952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085004485
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
675 W NORTH AVE STE 104, Melrose Park, IL 60160
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Other Names 1

Former Name (1)Nicole Sandra Geier Pa-c

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 Decoudres Pa-c 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 ID6002051026
PECOS Enrollment IDI20130322000259
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.

Hospital Affiliations CMS Care Compare

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140008
Location701 West North AveMelrose Park, IL 60160 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Decoudres's NPI number?

The NPI number for Nicole Decoudres is 1861745952. It was assigned to this individual provider in the NPPES registry on October 26, 2012. The provider is also known as Nicole Sandra Geier Pa-C.

Where is Nicole Decoudres located?

Nicole Decoudres practices at 675 W North Ave Ste 104, Melrose Park, IL 60160. The listed phone number is (706) 681-7695.

What is Nicole Decoudres's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Decoudres enrolled in Medicare?

Yes. Nicole Decoudres 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.

Is Nicole Decoudres affiliated with any hospitals?

According to CMS data, Nicole Decoudres is affiliated with Loyola Gottlieb Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Decoudres was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.