NICOLE M LORD (APRN, CNP) – Family Nurse Practitioner, NPI 1013319623

NICOLE M LORD (APRN, CNP) is a healthcare provider. based in Decatur, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 277001436 (IL). The NPI Number for NICOLE M LORD (APRN, CNP) is 1013319623

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M LORD (APRN, CNP)
NPI
1013319623
Phone
(217) 422-9740
Address
1770 E LAKE SHORE DR
Enumeration Date
25 September 2014
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3094512080
Graduation Year
2014 (12 years ago)
PAC ID
7113242058
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20150217000945
Address ID
IL617012216BL508XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:11State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for NICOLE M LORD (APRN, CNP)

  • 1770 E LAKE SHORE DR

    #309

    DECATUR, IL 625213832

    Phone: (217) 422-9740

    Type: Mailing

  • 1770 E Lake Shore Dr

    #309

    Decatur, IL 625213832

    Phone: (217) 422-9740

    Type: Location

  • 1730 BRADFORD LN

    NORMAL, IL 617611297

    Phone: (309) 451-2080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-01-16 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150217000945INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes45491$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month15346$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes14361$0
G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif7237$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes5742$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678889789View full group profile

Reviews

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Frequently asked questions

How do payers reference NICOLE M LORD (APRN, CNP)?
For NICOLE M LORD (APRN, CNP), use NPI 1013319623 as the unique 10-digit identifier.
Would NICOLE M LORD (APRN, CNP) appear as active to a payer?
You can treat NICOLE M LORD (APRN, CNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is NICOLE M LORD (APRN, CNP)?
NICOLE M LORD (APRN, CNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NICOLE M LORD (APRN, CNP)?
Travel planning: use Decatur, Illinois as the reference point for NICOLE M LORD (APRN, CNP), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.