Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Michelle Boyd, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1710439112

Mrs. Nicole Michelle Boyd, FNP-BC is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2014, 12 years ago. Practices with Promed Preferred Il 2 PLLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2016
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone: (314) 874-9360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016017058 (MO)

Record details

NPI number1710439112
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 1, 2016
Last updated in NPPESNovember 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Promed Preferred Il 2 Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mount Vernon