NICOLE KYOKO RUNKLE MD
NPI 1043834252
Family Medicine in Chicago, IL
About Nicole Kyoko Runkle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE KYOKO RUNKLE MD (NPI 1043834252) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.162134) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Nicole Kyoko Runkle 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Runkle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60625
- Reassigned Medicare billing, Illinois enrollment
- 383 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60625
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 Nicole Runkle's NPI number?
The NPI number for Nicole Runkle is 1043834252. It was assigned to this individual provider in the NPPES registry on June 3, 2020.
Where is Nicole Runkle located?
Nicole Runkle practices at 4747 N Kedzie Ave, Chicago, IL 60625. The listed phone number is (312) 666-3494.
What is Nicole Runkle's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nicole Runkle enrolled in Medicare?
Yes. Nicole Runkle 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 organization bills Medicare for Nicole Runkle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Runkle reassigns Medicare benefits to Erie Family Health Center, Inc (Chicago, IL). The 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 Nicole Runkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Runkle accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Nicole Runkle 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 Nicole Runkle was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nicole Kyoko Runkle, MD · NPI 1043834252
Family Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 3, 2020.
## Identity
- **NPI:** 1043834252 (Entity type: Individual)
- **Enumerated:** June 3, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.162134 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4747 N KEDZIE AVE, Chicago, IL 60625-4420
- **Phone:** (312) 666-3494
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Erie Family Health Center, Inc (NPI 1952598468, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043834252) · Data from the CMS NPPES public registry.