KIMBERLY NICHOLSON APN
NPI 1245636026
Nurse Practitioner in Long Grove, IL

Active since November 06, 2014PECOS EnrolledAccepts Medicare Assignment
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047(847) 719-2220(847) 719-2265 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 9, 2021, May 26, 2021 and 1 more (4 updates tracked since 2021).

About Kimberly Nicholson Apn NPPES

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

KIMBERLY NICHOLSON APN (NPI 1245636026) is an individual nurse practitioner in Long Grove, Illinois, licensed in Illinois (209012143) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and maintains a secondary practice location in Schaumburg.

NPPES Registry Identity

NPI1245636026
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY NICHOLSONCredential: APN
Location Address3880 SALEM LAKE DR STE FLong Grove, IL 60047-5292
Mailing Address3880 Salem Lake Dr Ste FLong Grove, IL 60047-5292 · (847) 719-2220 · Fax (847) 719-2265
Fax(847) 719-2265
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 6, 2014
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
NPI 1245636026 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 · 209012143
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.
3880 SALEM LAKE DR STE F, Long Grove, IL 60047

Secondary Practice Location 1

Location 1800 E Woodfield Rd Ste 113Schaumburg, IL 60173-4786 · Phone (847) 686-6866

Other Identifiers 1

Medicaid209012143IL

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

Kimberly Nicholson Apn 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 ID6709008345
PECOS Enrollment IDI20141114000230
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
140 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60047 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%834 patients1/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers43 claims189 services$5.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers16 claims33 services$0.97 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$15.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$68.40 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers11 claims11 services$178.63 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 20

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

Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Family Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Family)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047

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 Kimberly Nicholson's NPI number?

The NPI number for Kimberly Nicholson is 1245636026. It was assigned to this individual provider in the NPPES registry on November 6, 2014.

Where is Kimberly Nicholson located?

Kimberly Nicholson practices at 3880 Salem Lake Dr Ste F, Long Grove, IL 60047. The listed phone number is (847) 719-2220.

What is Kimberly Nicholson's specialty?

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

Is Kimberly Nicholson enrolled in Medicare?

Yes. Kimberly Nicholson 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 Kimberly Nicholson affiliated with any hospitals?

According to CMS data, Kimberly Nicholson is affiliated with Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Nicholson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.