NICOLE MIROBALLI NP
NPI 1013453281
Nurse Practitioner - Women's Health in Homewood, IL

Q: What is Nicole Miroballi's NPI number?

The NPI number for Nicole Miroballi is 1013453281. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Q: What is Nicole Miroballi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Miroballi was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 12, 2017PECOS Enrolled

17901 GOVERNORS HWY STE 102, HOMEWOOD, IL 60430(708) 888-8287(708) 957-4519 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 19, 2017 and 1 more (4 updates tracked since 2017).

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About Nicole Miroballi Np NPPES

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

NICOLE MIROBALLI NP (NPI 1013453281) is an individual women's health provider in Homewood, Illinois, licensed in Illinois (209015669) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013453281

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameNICOLE MIROBALLICredential: NP

Location Address17901 GOVERNORS HWY STE 102Homewood, IL 60430-1145

Mailing Address17901 Governors Hwy Ste 102Homewood, IL 60430-1145 · (708) 888-8287 · Fax (708) 957-4519

Phone(708) 888-8287

Fax(708) 957-4519

Sole ProprietorYes

Enumeration DateJanuary 12, 2017

Last NPPES UpdateApril 16, 20254 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1013453281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in IL · 209015669

17901 GOVERNORS HWY STE 102, Homewood, IL 60430

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Miroballi Np 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

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