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MISS NICOLE MARIE BAUKNECHT PA-C
NPI 1255758579
Physician Assistant in Northbrook, IL

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
984 WILLOW RD STE H, NORTHBROOK, IL 60062(888) 938-3838(888) 919-1083 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2022, Dec 20, 2021, Jul 21, 2021 and 2 more (5 updates tracked since 2020).

About Miss Nicole Marie Bauknecht Pa-c NPPES

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

MISS NICOLE MARIE BAUKNECHT PA-C (NPI 1255758579) is an individual physician assistant in Northbrook, Illinois, licensed in Illinois (085.004867) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255758579
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS NICOLE MARIE BAUKNECHTCredential: PA-C
Location Address984 WILLOW RD STE HNorthbrook, IL 60062-6821
Mailing Address1660 Feehanville Dr Ste 200Mount Prospect, IL 60056-6036 · (847) 823-3185 · Fax (847) 823-3318
Phone(888) 938-3838
Fax(888) 919-1083
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2014
Last NPPES UpdateApril 28, 20225 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1255758579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.004867
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
984 WILLOW RD STE H, Northbrook, IL 60062
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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

Miss Nicole Marie Bauknecht Pa-c 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 ID6406089481
PECOS Enrollment IDI20140428000767
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 60062 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 4

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

JOYCE ALEX APNP
Nurse Practitioner
984 WILLOW RD STE H
NORTHBROOK, IL 60062
Cook County (888) 938-3838
BERIN SIMSEK PA-C
Physician Assistant
984 WILLOW RD STE H
NORTHBROOK, IL 60062
Cook County (888) 938-3838
SHEENA SAMRA M.D.
Otolaryngology
984 WILLOW RD STE H
NORTHBROOK, IL 60062
Cook County (888) 938-3838
JULI PATEL PA-C
Physician Assistant
984 WILLOW RD STE H
NORTHBROOK, IL 60062
Cook County (888) 938-3838

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 Bauknecht's NPI number?

The NPI number for Nicole Bauknecht is 1255758579. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Nicole Bauknecht located?

Nicole Bauknecht practices at 984 Willow Rd Ste H, Northbrook, IL 60062. The listed phone number is (888) 938-3838.

What is Nicole Bauknecht's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Bauknecht enrolled in Medicare?

Yes. Nicole Bauknecht 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.

When was this NPI record last updated?

The NPPES record for Nicole Bauknecht was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.