Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Suzette Soper, APNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1073969044

Nicole Suzette Soper, APNFNP-BC is a Nurse Practitioner in Decatur, Illinois. Qualified in 2016, 10 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

302 W Hay St
Decatur, IL 62526-4167
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1709 S Fairview Ave, Decatur, IL 62521 — (217) 429-2551

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014230 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041330758 (IL)

Record details

NPI number1073969044
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNFNP-BC
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESNovember 25, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Decatur