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

Nicole Marie Chum, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1699402016

Nicole Marie Chum, FNP-BC is a Nurse Practitioner in Peru, Illinois. Qualified in 2022, 4 years ago. Practices with Dermatology and Mohs Surgery Institute Ltd, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

920 W St Ste 216
Peru, IL 61354-2769
Phone: (309) 451-3376
Fax: (309) 452-3376
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 209.025606 (IL)

Record details

NPI number1699402016
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 5, 2022
Certification dateAugust 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dermatology And Mohs Surgery Institute Ltd — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peru