NICOLE LYNN ZAVALA APRN
NPI 1093556409
Nurse Practitioner - Family in Plainfield, IL
About Nicole Lynn Zavala Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LYNN ZAVALA APRN (NPI 1093556409) is an individual family provider in Plainfield, Illinois, licensed in Illinois (209.029785) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Other (2024).
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 Lynn Zavala Aprn 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 Reassignments
2Medicare enrollment records show Nicole Zavala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plainfield, IL 60544
- Reassigned Medicare billing, Illinois enrollment
- 2 clinicians in this Medicare group
Des Plaines, IL 60016
- Reassigned Medicare billing, Illinois enrollment
- 443 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Saint Joseph Medical Center
Acute Care Hospitals · Joliet, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Zavala's NPI number?
The NPI number for Nicole Zavala is 1093556409. It was assigned to this individual provider in the NPPES registry on June 3, 2024.
Where is Nicole Zavala located?
Nicole Zavala practices at 24012 W Renwick Rd Unit 14, Plainfield, IL 60544. The listed phone number is (815) 436-9393.
What is Nicole Zavala's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Zavala enrolled in Medicare?
Yes. Nicole Zavala 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 Zavala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Zavala reassigns Medicare benefits to 2 organizations: Rogers Medical, Ltd (Plainfield, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, 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 Zavala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Zavala accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Nicole Zavala 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.
Is Nicole Zavala affiliated with any hospitals?
According to CMS data, Nicole Zavala is affiliated with Presence Saint Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Zavala was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Lynn Zavala, APRN · NPI 1093556409
Family physician in Plainfield, Illinois. Individual provider, active in the CMS NPPES registry since June 3, 2024.
## Identity
- **NPI:** 1093556409 (Entity type: Individual)
- **Enumerated:** June 3, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.029785 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 24012 W RENWICK RD UNIT 14, Plainfield, IL 60544-8731
- **Phone:** (815) 436-9393
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Rogers Medical, Ltd (NPI 1992992820, Plainfield, IL); Prime Healthcare Illinois Medical Group LLC (NPI 1023837689, Des Plaines, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093556409) · Data from the CMS NPPES public registry.