DR. PETER WARNER NICHOLS JR. MD
NPI 1013112143
Psychiatry & Neurology - Child & Adolescent Psychiatry in Streamwood, IL

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment
1400 E IRVING PARK RD, STREAMWOOD, IL 60107(630) 837-9000 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter Warner Nichols Jr. Md NPPES

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

DR. PETER WARNER NICHOLS JR. MD (NPI 1013112143) is an individual child & adolescent psychiatry provider in Streamwood, Illinois, licensed in Illinois (036.118548) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013112143
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. PETER WARNER NICHOLS JR.Credential: MD
Location Address1400 E IRVING PARK RDStreamwood, IL 60107-3201
Mailing Address904 W Diversey Pkwy Apt 2wChicago, IL 60614-1468 · (626) 253-0786
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 19, 2007
Last NPPES UpdateNovember 16, 2011
✔ NPI 1013112143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036.118548
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1400 E IRVING PARK RD, Streamwood, IL 60107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter Warner Nichols Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759690811
PECOS Enrollment IDI20151013000290
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Peter Nichols reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
1400 E IRVING PARK RD
Streamwood, IL 60107
  • Reassigned Medicare billing, Illinois enrollment
  • 33 clinicians in this Medicare group
Clinical
544 S CORNELL AVE
Villa Park, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group
Psychiatric Hospital
850 W LAWRENCE AVE
Chicago, IL 60640
  • Reassigned Medicare billing, Illinois enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107
Counselor (Mental Health)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107
Counselor (Professional)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107
Psychiatry & Neurology (Psychiatry)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107
Counselor (Professional)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107
Psychiatry & Neurology (Psychiatry)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107
Counselor (Mental Health)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1400 E IRVING PARK RD
STREAMWOOD, IL 60107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Nichols's NPI number?

The NPI number for Peter Nichols is 1013112143. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Peter Nichols located?

Peter Nichols practices at 1400 E Irving Park Rd, Streamwood, IL 60107. The listed phone number is (630) 837-9000.

What is Peter Nichols's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Peter Nichols enrolled in Medicare?

Yes. Peter Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peter Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Nichols reassigns Medicare benefits to 4 organizations: Bhc Streamwood Hospital Inc. (Streamwood, IL), Lutheran Social Services Of Illinois (Villa Park, IL), Edgewood Clinical Services, P.C. (Naperville, IL) and Chicago Bh Hospital, LLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Nichols accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Peter Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Nichols was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.