Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Nicole Wakefield

Individual provider Nurse Practitioner · NPI 1417730938

MS. Nicole Wakefield is a Nurse Practitioner in Champaign, Illinois. Qualified in 2023, 3 years ago. Practices with Christie Clinic, PLLC, a 220-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023

Practice location Address checks out

101 W University Ave
Champaign, IL 61820-3981
Phone: (217) 366-1255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209028120 (IL)

Record details

NPI number1417730938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address101 W University Ave, Champaign, IL 61820-3909

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Christie Clinic, Pllc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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