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NICOLE M. HABERKORN NP
NPI 1205504529
Nurse Practitioner in Chicago, IL

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611(312) 695-0990(312) 695-1106 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2022, Sep 24, 2021 (2 updates tracked since 2021).

About Nicole M. Haberkorn Np NPPES

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

NICOLE M. HABERKORN NP (NPI 1205504529) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.023729) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205504529
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE M. HABERKORNCredential: NP
Location Address675 N SAINT CLAIR ST STE 21-100Chicago, IL 60611-5970
Mailing Address675 N Saint Clair St Ste 21-100Chicago, IL 60611-5970 · (312) 695-0990 · Fax (312) 695-1106
Phone(312) 695-0990
Fax(312) 695-1106
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 1, 2021
Last NPPES UpdateJanuary 17, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1205504529 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 · 209.023729
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.
675 N SAINT CLAIR ST STE 21-100, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole M. Haberkorn Np 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 ID2567850845
PECOS Enrollment IDI20211020000592
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.

Hospital Affiliations CMS Care Compare 4

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

KANITHRA C SEKARAN
Hospitalist
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-0990
ADAM MENDEL SONABEND WORTHALTER M.D.
Neurological Surgery
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-0990
MARY REHER MS, RDN, CSO, LDN
Dietitian, Registered
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-9197
YASMIN ABAZA M.D.
Internal Medicine (Hematology & Oncology)
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-0990
RACHEL SHAPIRA SCM, LCGC
Genetic Counselor, MS
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-0320
LAURA CAMPA APRN, CNP
Nurse Practitioner
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-0990
JOHN TYLER COLE PA-C
Physician Assistant
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-0990
MRS. HAYLEY RENEE CASSINGHAM MS
Genetic Counselor, MS
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Cook County (312) 695-0320

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 Haberkorn's NPI number?

The NPI number for Nicole Haberkorn is 1205504529. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Nicole Haberkorn located?

Nicole Haberkorn practices at 675 N Saint Clair St Ste 21-100, Chicago, IL 60611. The listed phone number is (312) 695-0990.

What is Nicole Haberkorn's specialty?

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

Is Nicole Haberkorn enrolled in Medicare?

Yes. Nicole Haberkorn 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.

Is Nicole Haberkorn affiliated with any hospitals?

According to CMS data, Nicole Haberkorn is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Northwestern Memorial Hospital and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Nicole Haberkorn was last updated on January 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.