NOLAN DYER
NPI 1164302287
Nurse Practitioner in Chicago, IL

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: July 26, 2026.

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

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
3416 S HALSTED ST
CHICAGO, IL 60608
Internal Medicine
3416 S HALSTED ST
CHICAGO, IL 60608
Nurse Practitioner (Psychiatric/Mental Health)
3416 S HALSTED ST
CHICAGO, IL 60608

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.

When was this NPI record last updated?

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