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SYLVIA COLEMAN AGPCNP-BC
NPI 1205471083
Nurse Practitioner - Primary Care in Chicago, IL

Active since November 15, 2019PECOS EnrolledAccepts Medicare Assignment
20 W KINZIE ST STE 17, CHICAGO, IL 60654(312) 776-2446(312) 776-2459 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 22, 2020, Apr 24, 2020, Nov 15, 2019 (3 updates tracked since 2019).

About Sylvia Coleman Agpcnp-bc NPPES

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

SYLVIA COLEMAN AGPCNP-BC (NPI 1205471083) is an individual primary care provider in Chicago, Illinois, licensed in Illinois (209020394) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205471083
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSYLVIA COLEMANCredential: AGPCNP-BC
Location Address20 W KINZIE ST STE 17Chicago, IL 60654-6393
Mailing Address2422 183rd St Apt 208Homewood, IL 60430-3129
Phone(312) 776-2446
Fax(312) 776-2459
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 15, 2019
Last NPPES UpdateOctober 22, 20203 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1205471083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209020394
20 W KINZIE ST STE 17, Chicago, IL 60654
Open in Google Maps ↗

Other Names 1

Other Name (5)Sylvia Pryor Agpcnp-bc

Other Identifiers 1

Other209020394IL · Adult Gerontology Primary Care Nurse Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).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

Sylvia Coleman Agpcnp-bc 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 ID4082047311
PECOS Enrollment IDI20191127001179, I20211215001619
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

6

Medicare enrollment records show Sylvia Coleman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MD @ Home Illinois, Sc
2.5 mi
Internal Medicine
2003 W FULTON ST STE 303
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 127 clinicians in this Medicare group
NPI 1568758415 (312) 243-2223
Vpa PC
16 mi
Family Medicine
117W755 BUTTERFIELD ROAD, UNIT 104
Oakbrook Terrace, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 189 clinicians in this Medicare group
NPI 1174925663 (312) 818-4650
Caring Np At Home PLLC
30 mi
Nurse Practitioner
117 LAKE HILL DR
Steger, IL 60475
  • Reassigned Medicare billing, Illinois and Indiana enrollments
NPI 1942069919 (708) 897-7906
Villagemd Indiana, PC
30 mi
Family Medicine
6097 BROADWAY
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1336676923 (888) 975-1055
Harmonycares Complete Health Services, PLLC
676 mi
Family Medicine
317 E CAPITOL ST STE 200
Jackson, MS 39201
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
NPI 1093543902 (855) 396-9643
Signify Health Medical Associates, PLLC
798 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
406 services100 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
28 services21 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
26 services25 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60654 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers17 claims6,462 services$0.33 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.33 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$37.34 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WELLBE SENIOR MEDICAL GROUP OF ARIZONA LLC
Internal Medicine (Geriatric Medicine)
20 W KINZIE ST STE 17
CHICAGO, IL 60654
Cook County (312) 776-2422
WELLBE SENIOR MEDICAL LLC
Case Management
20 W KINZIE ST STE 17
CHICAGO, IL 60654
Cook County (312) 776-2422
MELYNDA SMITH APRN
Nurse Practitioner (Family)
20 W KINZIE ST STE 17
CHICAGO, IL 60654
Cook County (855) 490-5434

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 Sylvia Coleman's NPI number?

The NPI number for Sylvia Coleman is 1205471083. It was assigned to this individual provider in the NPPES registry on November 15, 2019. The provider is also known as Sylvia Pryor Agpcnp-Bc.

Where is Sylvia Coleman located?

Sylvia Coleman practices at 20 W Kinzie St Ste 17, Chicago, IL 60654. The listed phone number is (312) 776-2446.

What is Sylvia Coleman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sylvia Coleman enrolled in Medicare?

Yes. Sylvia Coleman 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 Sylvia Coleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylvia Coleman reassigns Medicare benefits to 6 organizations: MD @ Home Illinois, Sc (Chicago, IL), Vpa PC (Oakbrook Terrace, IL), Caring Np At Home PLLC (Steger, IL), Villagemd Indiana, PC (Merrillville, IN), Harmonycares Complete Health Services, PLLC (Jackson, MS) and 1 more organization, listed in the Medicare section above. 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 Sylvia Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sylvia Coleman accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Sylvia Coleman 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 Sylvia Coleman affiliated with any hospitals?

According to CMS data, Sylvia Coleman is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Sylvia Coleman was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.