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DR. HANNAH RAE NUCKOLS D.O.
NPI 1093075434
Internal Medicine in Park Ridge, IL

Active since May 18, 2012PECOS EnrolledAccepts Medicare Assignment
1775 DEMPSTER ST STE E592B, PARK RIDGE, IL 60068(847) 723-8080(847) 723-4378 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2023, Dec 17, 2021, Feb 28, 2017 (3 updates tracked since 2017).

About Dr. Hannah Rae Nuckols D.o. NPPES

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

DR. HANNAH RAE NUCKOLS D.O. (NPI 1093075434) is an individual internal medicine provider in Park Ridge, Illinois, licensed in Illinois (036138457) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1093075434
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HANNAH RAE NUCKOLSCredential: D.O.
Location Address1775 DEMPSTER ST STE E592BPark Ridge, IL 60068-1143
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-8080
Fax(847) 723-4378
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2012
Enumeration DateMay 18, 2012
Last NPPES UpdateMarch 10, 20233 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1093075434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036138457✔ Licensed in IL · 336099716
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1775 DEMPSTER ST STE E592B, Park Ridge, IL 60068
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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 and accepts Medicare assignment

Dr. Hannah Rae Nuckols D.o. 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 ID547561482
PECOS Enrollment IDI20151217001182
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
187 services183 patients

Hospital Affiliations CMS Care Compare

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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 4

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

NAYANA P DAVE M.D.
Internal Medicine
1775 DEMPSTER ST STE E592B
PARK RIDGE, IL 60068
Cook County (847) 723-8080
DR. PETER VAYALIL MD
Internal Medicine
1775 DEMPSTER ST STE E592B
PARK RIDGE, IL 60068
Cook County (847) 723-8080
JOANNE VOLDEN MD
Internal Medicine
1775 DEMPSTER ST STE E592B
PARK RIDGE, IL 60068
Cook County (888) 214-4057
BEAU MCCABE BRINCKERHOFF M.D.
Internal Medicine
1775 DEMPSTER ST STE E592B
PARK RIDGE, IL 60068
Cook County (847) 723-8080

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 Hannah Nuckols's NPI number?

The NPI number for Hannah Nuckols is 1093075434. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Hannah Nuckols located?

Hannah Nuckols practices at 1775 Dempster St Ste E592b, Park Ridge, IL 60068. The listed phone number is (847) 723-8080.

What is Hannah Nuckols's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hannah Nuckols enrolled in Medicare?

Yes. Hannah Nuckols 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.

Is Hannah Nuckols affiliated with any hospitals?

According to CMS data, Hannah Nuckols is affiliated with Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Hannah Nuckols was last updated on March 10, 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.