Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790205896 Individual Practitioner Female Practitioner

Nicole Kristin Boles , LPN

Licensed Practical Nurse • Joppa, IL

Professional Overview & Biography Verified Profile Summary

Nicole Boles, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Joppa, IL. Practice services are available at 922 BLY ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

922 Bly St.

Joppa, IL 62953

Telephone 6183092455

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Joppa, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Joppa, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043.120833

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Practical Nurse
043.120833 (IL)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2017

Registered at 922 BLY ST., JOPPA, IL 62953 (Tel: 6183092455)

📍
Updated Business Mailing Address June 21, 2017

Registered at 341 STATE ROUTE 1628, BARDWELL, KY 420238530

👤
Provider Name / Credentials Updated June 21, 2017

Recorded as NICOLE BOLES, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Licensed Practical Nurse (License #043.120833 in IL)

🟢
Initial NPI Registration & Enumeration June 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Nicole Boles. Be the first to share your experience!

Sign in to leave a review for Nicole Boles

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790205896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2017
Last Update: June 21, 2017
Sole Proprietor: Yes

Mailing Address

341 State Route 1628

Bardwell, KY 420238530

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.