Look up the most recent NPI and PECOS records

Nikki Principato

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Nikki Principato is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1538717210
Provider Type
Individual
Full Name
Principato, Nikki
Title
Miss
Credential
BS, MHP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/27/2019
Last Updated
12/2/2019

Contact Information

Practice Location

125 S 4th St, Oregon, IL 61061-1609

(815) 732-3157

Unlisted Fax

Mailing Location

100 Jefferson St, Oregon, IL 61061-1612

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Nikki Principato

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Smith, Adam

Duke, Rebecca

Worrell, Lynnsey

Boyd, Kelsey

Fischer, Autumn

Hollingsworth, Seretha

Hermes, Anne

Leek, Sierra

Bieche, Christina

Patterson, Ashley