MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT) – Hand Occupational Therapist, NPI 1144474321

MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT) is a healthcare provider. based in Bloomington, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS,OT/L,CHT. They hold a License No. 056004933 (IL). The NPI Number for MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT) is 1144474321

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT)
NPI
1144474321
Phone
(309) 663-6461
Address
1111 TRINITY LANE
Enumeration Date
13 November 2008
Last Update Date
21 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096630222
Graduation Year
1997 (29 years ago)
PAC ID
2062300825
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20090210000095
Address ID
IL617043567BL2204XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT)

  • 1111, Trinity Lane, Bloomington, McLean County, Illinois, 61704, United States

    SUITE 111

    BLOOMINGTON, IL 617043738

    Phone: (309) 663-6461

    Fax: (309) 663-5711

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-10

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
I20090210000095IOccupational Therapist In Private PracticeILTBD

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
97760Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT)?
MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT) — NPI 1144474321 — is the standard way to identify this listing.
Does the file indicate MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT) is practicing under active NPI?
Directory data currently reports MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT) as active.
What taxonomy line describes MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT)?
For research purposes, treat MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT) as Hand Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT)?
MS. NICHOLLE LEIGH EISFELDER (MS,OT/L,CHT)'s geographic hint is Bloomington, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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