Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREA J NIKOLIS MD
NPI 1003446212
Physical Medicine & Rehabilitation - Pain Medicine in Chicago, IL

Q: What is Andrea Nikolis's NPI number?

The NPI number for Andrea Nikolis is 1003446212. It was assigned to this individual provider in the NPPES registry on January 16, 2020. The provider is also known as Andrea Jean Wakim.

Q: What is Andrea Nikolis's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Nikolis was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2020PECOS Enrolled

259 E ERIE ST FL 13, CHICAGO, IL 60611(312) 695-6800(312) 472-4872 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Sep 22, 2026, May 3, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Andrea J Nikolis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA J NIKOLIS MD (NPI 1003446212) is an individual pain medicine provider in Chicago, Illinois, licensed in Illinois (036181361) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1003446212

Entity TypeIndividualFemale

Primary Taxonomy2081P2900X

Provider Legal NameDR. ANDREA J NIKOLISCredential: MD

Location Address259 E ERIE ST FL 13Chicago, IL 60611-3926

Mailing Address259 E Erie St Fl 13Chicago, IL 60611-3926 · (312) 695-6800 · Fax (312) 472-4872

Phone(312) 695-6800

Fax(312) 472-4872

Sole ProprietorYes

Enumeration DateJanuary 16, 2020

Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2026

✔ NPI 1003446212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in IL · 036181361

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License A201330 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

259 E ERIE ST FL 13, Chicago, IL 60611

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Other Names 1

Former Name (1)Andrea Jean Wakim

Secondary Practice Locations 4

Location 112631 E 17th AveAurora, CO 80045-2527 · Phone (303) 724-7408

Location 2355 Ridge AveEvanston, IL 60202-3328 · Phone (847) 316-4000

Location 34860 Y St Ste 3020Sacramento, CA 95817-2309 · Phone (916) 734-6688

Location 4259 E Erie St Fl 13Chicago, IL 60611-3926 · Phone (312) 695-6800 · Fax (312) 472-4872

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea J Nikolis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY LARVA PA-C

Physician Assistant