Nicole M Wirtz (NPI# 1184933806, PAC ID# 6507052230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1184933806 |
| PAC ID by PECOS | 6507052230 |
| Professional Enrollment ID | I20101120000182 |
| Full Name | Nicole M Wirtz |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Address |
800 N 1st St Springfield IL 62702-3719 |
| Phone Number | 2175287541 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547166076 |
| Number of Group Practice Members | 538 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141332 | HILLSBORO AREA HOSPITAL |
| 141339 | TAYLORVILLE MEMORIAL HOSPITAL |
| 140053 | ST JOHNS HOSPITAL |
| 140148 | MEMORIAL MEDICAL CENTER |
| 141322 | ABRAHAM LINCOLN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Centre W Dr, Family Practice Ctr, Springfield, IL 62704-2100 | 2177939960 | SPRINGFIELD CLINIC LLP |
| 4525 Wabash Ave, Springfield, IL 62711-7038 | 2175287541 | SPRINGFIELD CLINIC LLP |
| 701 N 1st St, D116, Springfield, IL 62702-3757 | 2177883934 | SPRINGFIELD CLINIC LLP |
| 775 Engineering Ave, Springfield, IL 62703-5909 | SPRINGFIELD CLINIC LLP | |
| 800 E Carpenter Rm, 2k20, Springfield, IL 62702-5324 | 2175446464 | SPRINGFIELD CLINIC LLP |
| 800 N 1st St, Springfield, IL 62702-3719 | 2175287541 | SPRINGFIELD CLINIC LLP |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Physicians | 568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Akers | Nurse Practitioner | Springfield Clinic LLP | 505 E Grant St, Suite 110, Macomb, IL 61455-3394 |
| Kelsey K. Kniepmann | Registered Dietitian Or Nutrition Professional | Springfield Clinic LLP | 350 W Carpenter St, Springfield, IL 62702-4902 |
| Jessica M Sestak | Nurse Practitioner | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Elijah Kim | General Surgery | Springfield Clinic LLP | 301 N 8th St 6th Flr, St John Pavilion, Springfield, IL 62701-1041 |
| Rajesh Banderudrappagari | Hematology/oncology | Springfield Clinic LLP | 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 |
| Jared Bernard | Critical Care (intensivists) | Springfield Clinic LLP | 301 N 8th St 3rd Flr Rm, Suite 134, Springfield, IL 62701-1041 |
| Rabia Asghar | Endocrinology | Springfield Clinic LLP | 20613 N Broad St, Carlinville, IL 62626-3720 |
| Tonya L. Heim | Nurse Practitioner | Springfield Clinic LLP | 901 S Koke Mill Rd, Springfield, IL 62711-8012 |
| Amanda L. House | Nurse Practitioner | Springfield Clinic LLP | 800 E Carpenter Rm, 2k20, Springfield, IL 62702-5324 |
| Brenda S Reiling | Physical Therapy | Springfield Clinic LLP | 100 Marion Pkwy, Suite 149, Sherman, IL 62684-9673 |
| Street Address |
800 N 1ST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62702-3719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Kucharski | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Lauren Nicole Boente | Physician Assistant | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Christi A. Sabatka | Physical Therapy | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Thaddeus J Krolicki | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Trenton L. Wiseman | Physical Therapy | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Benjamin R Clark | Optometry | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Ashley N Rees | Nurse Practitioner | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Deepak Sambhara | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Mary E Perlman | Physical Therapy | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Mary B Ditman | Nurse Practitioner | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Speck | Chiropractic | 405 E Sangamon Ave, Springfield, IL 62702-1762 | |
| Ryan T Durocher | Chiropractic | 1244 E Sangamon Ave, Springfield, IL 62702-1854 | |
| Dana K Oliver | Chiropractic | Lincoln Chiropractic Clinic PC | 1244 E Sangamon Ave, Springfield, IL 62702-1854 |
| Casey Steven Sitko | Chiropractic | 205 N Grand W Ave, Springfield, IL 62702-2550 | |
| Steven M Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| John L Miller | Chiropractic | The Wellness Center S.c. | 203 N Grand Ave W, Springfield, IL 62702-2550 |
| Cody Derek Needham | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Kyle James Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Scott P Blomberg | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Andrew T Clark | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Find all physicians in zip 62702 | |||
| City | SPRINGFIELD |
| Zip Code | 62702 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole M Wirtz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.