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Active NPI 1699148726 Individual Practitioner Male Practitioner

Nicholas J Sutton , NP

Nurse Practitioner • Columbia, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Sutton, NP is a certified Nurse Practitioner practicing in Columbia, IL. With approximately 11 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 2015, Nicholas Sutton delivers high-quality medical care to the local community at 1000 ELEVEN S STE 4A.

Nicholas Sutton is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Eleven S Ste 4a

Columbia, IL 622361077

Telephone 6182066120
Associated Practice Facility / Clinic
🏢 Ssm Medical Group, Inc. Facility NPI 1194736116

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Columbia, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.7 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Columbia, IL (4929 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (11 Years) 11 Yrs
Columbia Specialty Average (12.7 Years) 12.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
374 273 $96.00 $60.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
70 56 $144.00 $89.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
52 14 $10.00 $1.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
50 32 $54.00 $16.29
99202 New patient office or other outpatient visit, typically 20 minutes
42 42 $120.00 $61.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
25 25 $258.00 $95.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $174.00 $90.82

Medical Specialties & State Licenses

CMS Verified: 2025-04-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277000374

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MO 2017009020

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

9759 Manchester Rd, Saint Louis, MO 631191346

Phone: 3147814922

Ssm Medical Group Inc

1000 Eleven S, Columbia, IL 622361077

Phone: 6182066120

Secondary Practice Locations

50 Northgate Industrial Dr

Granite City, IL 620406805

Phone: 6188774420

1181 S State Route 157, Suite 201

Edwardsville, IL 620253776

Phone: 6182888850

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Frances Karnuth , DNP APRN FNP-BC

Nurse Practitioner - Family

NPI 1134986789

DNPAPRNFNPBC

NPI 1528418993

Nurse Practitioner (Certified)

Andrea Thomas , PA-C

Physician Assistant

NPI 1538152657

Physician Assistant (Certified)

NPI 1710058961

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Kirk , MD

Family Medicine

NPI 1922179175

Doctor of Medicine (M.D.)

Breena Hampton

Nurse Practitioner - Family

NPI 1992679948

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 31, 2025

Registered at 1000 ELEVEN S STE 4A, COLUMBIA, IL 622361077 (Tel: 6182066120)

📍
Updated Business Mailing Address March 31, 2025

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2025

Nurse Practitioner (License #2017009020 in MO)

📍
Updated Practice Location July 20, 2021

Registered at 50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 620406805 (Tel: 6188774420)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Nurse Practitioner (License #209013573 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2020

Nurse Practitioner (License #209.013573 in IL)

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2015

Registered at 1181 S STATE ROUTE 157, SUITE 201, EDWARDSVILLE, IL 620253776 (Tel: 6182888850)

📍
Updated Business Mailing Address November 11, 2015

Registered at 102 BRENTWOOD BLVD, ALTON, IL 620024419 (Tel: 6186965508)

👤
Provider Name / Credentials Updated November 11, 2015

Recorded as NICHOLAS SUTTON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Nurse Practitioner (License #209013573 in IL)

🟢
Initial NPI Registration & Enumeration November 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699148726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2015
Last Update: April 23, 2025
Sole Proprietor: No

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.