Individual provider · Type 1 NPI

Michelle Dianne Niehaus

Nurse Practitioner · Quincy, IL

NPI number 1629530399 Active

Practice location

1025 Maine St
Quincy, IL 62301-4096

Fax (217) 277-2253

Mailing address

1 University Cir
Macomb, IL 61455-1367

Other practice locations

  • 216 Pittsfield Rd, Mount Sterling Il, IL 62353 · (217) 773-3963
  • 515 E Grant St Ste 213, Macomb, IL 61455-3378 · (309) 837-6937
  • 1225 S Gear Ave Ste 153, West Burlington, IA 52655-1686 · (319) 754-4400
  • 1150 N Cole St, Bushnell, IL 61422-9503 · (309) 772-9444

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X209.019108 (IL)
Nurse Practitioner Primary 363L00000X277004354 (IL)

Nurse Practitioner: (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 wit…

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About NPI 1629530399

Michelle Dianne Niehaus's National Provider Identifier is 1629530399, issued on Apr 2, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Quincy, IL. The record was last updated on Jul 23, 2025.