NOLAN DYER
NPI 1164302287
Nurse Practitioner in Chicago, IL

Q: What is Nolan Dyer's NPI number?

The NPI number for Nolan Dyer is 1164302287. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Q: What is Nolan Dyer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nolan Dyer was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 08, 2025PECOS Enrolled

3416 S HALSTED ST, CHICAGO, IL 60608(708) 954-6705 Get Directions Write a Review

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

Record update history: Apr 8, 2026, Sep 8, 2025 (2 updates tracked since 2025).

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About Nolan Dyer NPPES

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

NOLAN DYER (NPI 1164302287) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.035146) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2025).

NPPES Registry Identity

NPI1164302287

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameNOLAN DYER

Location Address3416 S HALSTED STChicago, IL 60608-6708

Mailing Address340 Manistee AveCalumet City, IL 60409-1909

Phone(708) 954-6705

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2025

Enumeration DateSeptember 8, 2025

Last NPPES UpdateApril 8, 20262 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1164302287 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 · 209.035146

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.

3416 S HALSTED ST, Chicago, IL 60608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter 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)

Nolan Dyer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305315284

PECOS Enrollment IDI20260520002228

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 Nolan Dyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baal Perazim Wellness, Inc

Same address

Internal Medicine

3416 S HALSTED ST
Chicago, IL 60608

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

NPI 1215403530 (773) 296-2400

Baal Perazim Wellness And Health Services PC

7.0 mi

Internal Medicine

2835 N SHEFFIELD AVE STE 500
Chicago, IL 60657

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

NPI 1376153437 (773) 296-2400

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 60608 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 4

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

BAAL PERAZIM WELLNESS, INC

Clinic/Center (Mental Health (Including Community Mental Health Center))

3416 S HALSTED ST
CHICAGO, IL 60608

Cook County (773) 940-0572

BAAL PERAZIM WELLNESS, INC

Internal Medicine

3416 S HALSTED ST
CHICAGO, IL 60608

Cook County (773) 296-2400

ANTINEY D MCKINNEY PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

3416 S HALSTED ST
CHICAGO, IL 60608

Cook County (773) 823-9434

SHUNDRA YUVETTE ROBINSON

Nurse Practitioner (Psychiatric/Mental Health)

3416 S HALSTED ST
CHICAGO, IL 60608

Cook County (773) 823-9434

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 Nolan Dyer's NPI number?

The NPI number for Nolan Dyer is 1164302287. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Nolan Dyer located?

Nolan Dyer practices at 3416 S Halsted St, Chicago, IL 60608. The listed phone number is (708) 954-6705.

What is Nolan Dyer's specialty?

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

Is Nolan Dyer enrolled in Medicare?

Yes. Nolan Dyer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nolan Dyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nolan Dyer reassigns Medicare benefits to 2 organizations: Baal Perazim Wellness, Inc (Chicago, IL) and Baal Perazim Wellness And Health Services PC (Chicago, 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 Nolan Dyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nolan Dyer accept?

Health plans from Ambetter Health list Nolan Dyer 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 Nolan Dyer was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.