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

Nicole Decoudres, PA-C

Individual provider Physician Assistant · NPI 1861745952

Nicole Decoudres, PA-C is a Physician Assistant in Melrose Park, Illinois. Qualified in 2012, 14 years ago. Practices with Edm Consultant Services Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

675 W North Ave Ste 104
Melrose Park, IL 60160-1622
Phone: (706) 681-7695
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004485 (IL)

Record details

NPI number1861745952
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2012
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Edm Consultant Services Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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