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

Nicole Marie Lewis, DNP, FNP-BC

Individual provider Nurse Practitioner · NPI 1982123899

Nicole Marie Lewis, DNP, FNP-BC is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2017, 9 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

602 S 42nd St
Mount Vernon, IL 62864-6264
Phone: (618) 899-3278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8601 N Kentucky Ave Ste J, Evansville, IN 47725-6371 — (888) 492-8722

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209016310 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209016310 (IL)

Record details

NPI number1982123899
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 12, 2017
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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