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NICOLE GABRIEL TENEGRA MD
NPI 1992234504
Family Medicine in Decatur, IL

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
102 W KENWOOD AVE, DECATUR, IL 62526(217) 872-3800(217) 872-0849 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2020, Jul 1, 2020, May 7, 2020 and 1 more (4 updates tracked since 2017).

About Nicole Gabriel Tenegra Md NPPES

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

NICOLE GABRIEL TENEGRA MD (NPI 1992234504) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036-153194) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992234504
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE GABRIEL TENEGRACredential: MD
Location Address102 W KENWOOD AVEDecatur, IL 62526-4368
Mailing AddressPo Box 19644Springfield, IL 62794-9644 · (217) 545-8000
Phone(217) 872-3800
Fax(217) 872-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2017
Last NPPES UpdateDecember 7, 20204 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1992234504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-153194✔ Licensed in IL · 125070186
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
102 W KENWOOD AVE, Decatur, IL 62526
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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 Gabriel Tenegra Md 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 ID1254601503
PECOS Enrollment IDI20200721002179
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.

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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 20

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

MRS. VIRGINIA ANN KERWIN R.D. ,CDE, LDN
Dietitian, Registered
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 545-8000
DRS GRAHAM & GRAHAM LTD
Podiatrist (Foot & Ankle Surgery)
102 W KENWOOD AVE, SUITE 150
DECATUR, IL 62526
Macon County (217) 875-3668
BROOKLYNN JUNE ALDRIDGE
Community Health Worker
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 972-5857
MISS ROBYN PLOESSL DPT
Physical Therapist
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-2690
MICHAEL STEPHEN KOCH MS, ATC
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-6820
TAMMY KAY MUNCH PA-C
Physician Assistant
102 W KENWOOD AVE, SUITE 110
DECATUR, IL 62526
Macon County (217) 876-6880
KYLIE VANDYKE
Social Worker (Clinical)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 520-1047
MR. JEFFREY BRUCE ROUNDS M.S., A.T.C., L.A.T
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-6820

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 Tenegra's NPI number?

The NPI number for Nicole Tenegra is 1992234504. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Nicole Tenegra located?

Nicole Tenegra practices at 102 W Kenwood Ave, Decatur, IL 62526. The listed phone number is (217) 872-3800.

What is Nicole Tenegra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Tenegra enrolled in Medicare?

Yes. Nicole Tenegra 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 Tenegra affiliated with any hospitals?

According to CMS data, Nicole Tenegra is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Tenegra was last updated on December 7, 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.