NICOLE SUZETTE SOPER (APN FNP-BC) – Family Nurse Practitioner, NPI 1073969044
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for NICOLE SUZETTE SOPER (APN FNP-BC)
201, East Madison Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627025131
Phone: (217) 545-3787
Fax: (217) 762-3949
Type: Mailing
1709 S Fairview Ave
Decatur, IL 62521
Phone: (217) 429-2551
Fax: (217) 429-2942
Type: Location
302, West Hay Street, Decatur, Macon County, Illinois, 62526, United States
DECATUR, IL 625264167
Phone: (217) 545-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $630.
Total Amount is formed as General ($630) + Research ($0) + Ownership ($0) = $630.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($90).
Total Amount
$630
General + Research + Ownership
Payments
31
Total payment records
General Amount
$630
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $90 |
| AstraZeneca Pharmaceuticals LP | $87 |
| Pharmacyclics LLC, an AbbVie Company | $65 |
| ABBVIE INC. | $52 |
| PFIZER INC. | $49 |
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: 2016-07-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160721001040 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 13,000 | 11 | $0 |
| 81003 | Automated urinalysis test | 736 | 586 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 589 | 511 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 292 | 228 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 166 | 77 | $0 |
Insurance plans in this area (ZIP 62702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Physician Assistant | IL | |
| Pulmonary Disease | IL | |
| D E R M A T O L O G Y | IL | |
| Vascular Surgery | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| General Surgery | IL | |
| Nurse Practitioner | IL |
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