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

Individual provider Family Nurse Practitioner · NPI 1154082808

Nicholas M. Fenwick, APRN is a Nurse Practitioner in Springfield, Illinois. Qualified in 2021, 5 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

350 W Carpenter St
Springfield, IL 62702-4902
Phone: (217) 528-7541
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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 209024523 (IL)

Record details

NPI number1154082808
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023
Mailing address1025 S 6th St, Springfield, IL 62703-2499

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Springfield