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

Nicole Hendrickson, FPAFNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1881242725

Nicole Hendrickson, FPAFNP-BC is a Nurse Practitioner in Spring Grove, Illinois. Qualified in 2019, 7 years ago. Practices with Modern Health LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2440 Highview St
Spring Grove, IL 60081-9609
Phone: (815) 900-7330
Fax: (928) 268-0163
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209020152 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 277001900 (IL)

Record details

NPI number1881242725
Entity typeIndividual (Type 1)
GenderFemale
Credentials FPAFNP-BC
Sole proprietorNo
NPI enumeratedSeptember 3, 2019
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Modern Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount