NICOLE MCDERMOTT RN
NPI 1073894481
Registered Nurse in Chicago, IL

Q: What is Nicole Mcdermott's NPI number?

The NPI number for Nicole Mcdermott is 1073894481. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Q: What is Nicole Mcdermott's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mcdermott was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 30, 2011PECOS EnrolledAccepts Medicare Assignment

5858 S SAYRE AVE, CHICAGO, IL 60638(773) 447-8689 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nicole Mcdermott Rn NPPES

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

NICOLE MCDERMOTT RN (NPI 1073894481) is an individual registered nurse in Chicago, Illinois, licensed in Illinois (041332482) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Silver Cross Hospital And Medical Centers, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073894481

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameNICOLE MCDERMOTTCredential: RN

Location Address5858 S SAYRE AVEChicago, IL 60638-3125

Mailing Address5858 S Sayre AveChicago, IL 60638-3125

Phone(773) 447-8689

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 30, 2011

✔ NPI 1073894481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in IL · 041332482

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

5858 S SAYRE AVE, Chicago, IL 60638

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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 Mcdermott Rn 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 ID6507160934

PECOS Enrollment IDI20160205000488

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

Medicare enrollment records show Nicole Mcdermott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Lenox Anesthesia LLC

19 mi

Anesthesiology

678 CEDAR CROSSING DR
New Lenox, IL 60451

Reassigned Medicare billing, Illinois enrollment
30 clinicians in this Medicare group

NPI 1093204778 (708) 499-5678

Allied Anesthesia Associates, P.C.

Interventional Pain Medicine

1200 MAPLE RD
Joliet, IL 60432

Reassigned Medicare billing, Illinois enrollment
131 clinicians in this Medicare group

NPI 1750330742 (815) 740-1100

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

Areas of Expertise CMS Part B claims 5

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

98 services94 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

35 services35 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

35 services35 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

28 services28 patients

Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 00732

This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.

16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140213

Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County

Emergency services Birthing friendly

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 Mcdermott's NPI number?

The NPI number for Nicole Mcdermott is 1073894481. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Nicole Mcdermott located?

Nicole Mcdermott practices at 5858 S Sayre Ave, Chicago, IL 60638. The listed phone number is (773) 447-8689.

What is Nicole Mcdermott's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Nicole Mcdermott enrolled in Medicare?

Yes. Nicole Mcdermott 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 Nicole Mcdermott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mcdermott reassigns Medicare benefits to 2 organizations: New Lenox Anesthesia LLC (New Lenox, IL) and Allied Anesthesia Associates, P.C. (Joliet, 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 Nicole Mcdermott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Mcdermott affiliated with any hospitals?

According to CMS data, Nicole Mcdermott is affiliated with Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Nicole Mcdermott was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.