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NICOLE GODINEZ M.D.
NPI 1184905630
Family Medicine in Chicago, IL

Active since August 29, 2011PECOS Enrolled
2750 W NORTH AVE, CHICAGO, IL 60647(312) 666-3494 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Godinez M.d. NPPES

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

NICOLE GODINEZ M.D. (NPI 1184905630) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036136411) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184905630
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE GODINEZCredential: M.D.
Location Address2750 W NORTH AVEChicago, IL 60647-5247
Mailing Address111 S Peoria St Ph 6Chicago, IL 60607-2883 · (773) 269-9942
Phone(312) 666-3494
Sole ProprietorNo
Enumeration DateAugust 29, 2011
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedSeptember 16, 2021
✔ NPI 1184905630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036136411✔ Licensed in IL · 125060713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2750 W NORTH AVE, Chicago, IL 60647
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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 (PECOS)

Nicole Godinez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nicole Godinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Erie Family Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
2750 W NORTH AVE
Chicago, IL 60647
  • Reassigned Medicare billing, Illinois enrollment
  • 383 clinicians in this Medicare group
NPI 1407043912 (312) 666-3494

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 60647 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 20

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

SILVIA DIAZ LCSW
Social Worker (Clinical)
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
NIDA BAJWA
Family Medicine
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
DR. PREIYAA GOPINATH M.D.
Internal Medicine
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
CARLA MAYELA VILLARREAL
Family Medicine
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
TOBIAS HOLDEN
Student in an Organized Health Care Education/Training Program
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
AMARPREET EVEREST
Student in an Organized Health Care Education/Training Program
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
LYNNE MARIE CLAPMAN ANP
Nurse Practitioner (Family)
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (219) 775-0646
EZRA OTTO FNP-BC
Nurse Practitioner (Family)
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494

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 Godinez's NPI number?

The NPI number for Nicole Godinez is 1184905630. It was assigned to this individual provider in the NPPES registry on August 29, 2011.

Where is Nicole Godinez located?

Nicole Godinez practices at 2750 W North Ave, Chicago, IL 60647. The listed phone number is (312) 666-3494.

What is Nicole Godinez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Godinez enrolled in Medicare?

Yes. Nicole Godinez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Godinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Godinez reassigns Medicare benefits to Erie Family Health Center, Inc (Chicago, IL). The 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 Godinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Godinez was last updated on November 29, 2023. 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.