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NICOLETTE V. NAZANIN APN-DNP
NPI 1053032805
Nurse Practitioner in Evanston, IL

Active since September 09, 2022PECOS Enrolled
2650 RIDGE AVE, EVANSTON, IL 60201(847) 982-3172 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2025, Sep 9, 2022 (2 updates tracked since 2022).

About Nicolette V. Nazanin Apn-dnp NPPES

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

NICOLETTE V. NAZANIN APN-DNP (NPI 1053032805) is an individual nurse practitioner in Evanston, Illinois, licensed in Illinois (209025912) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053032805
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLETTE V. NAZANINCredential: APN-DNP
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address2650 Ridge AveEvanston, IL 60201-1700 · (847) 982-3172
Phone(847) 982-3172
Sole ProprietorNo
Enumeration DateSeptember 9, 2022
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1053032805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209025912
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2650 RIDGE AVE, Evanston, IL 60201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolette V. Nazanin Apn-dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicolette Nazanin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
Same address
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760

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 60201 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 20

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

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
LAUREN ANDERSON MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1027
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
MINA KEROLOS MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1010

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 Nicolette Nazanin's NPI number?

The NPI number for Nicolette Nazanin is 1053032805. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Nicolette Nazanin located?

Nicolette Nazanin practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 982-3172.

What is Nicolette Nazanin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicolette Nazanin enrolled in Medicare?

Yes. Nicolette Nazanin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolette Nazanin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Nazanin reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, 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 Nicolette Nazanin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolette Nazanin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nicolette Nazanin 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 Nicolette Nazanin was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.