Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Nicole Wakefield

Individual provider Nurse Practitioner · NPI 1417730938

MS. Nicole Wakefield is a Nurse Practitioner in Champaign, Illinois. Qualified in 2023, 3 years ago. Practices with Christie Clinic, PLLC, a 220-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023

Practice location Address checks out

101 W University Ave
Champaign, IL 61820-3981
Phone: (217) 366-1255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209028120 (IL)

Record details

NPI number1417730938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Christie Clinic, Pllc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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