NICOLE BRAZG NP
NPI 1336604644
Nurse Practitioner - Pediatrics in Chicago, IL

Q: What is Nicole Brazg's NPI number?

The NPI number for Nicole Brazg is 1336604644. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Q: What is Nicole Brazg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Brazg was last updated on May 28, 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.

Active since January 31, 2019PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(425) 445-1865 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2020, Jan 31, 2019 (2 updates tracked since 2019).

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About Nicole Brazg Np NPPES

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

NICOLE BRAZG NP (NPI 1336604644) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209018362) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336604644

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNICOLE BRAZGCredential: NP

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address33 W Ontario St Apt 52fChicago, IL 60654-7775 · (425) 445-1865

Phone(425) 445-1865

Sole ProprietorNo

Enumeration DateJanuary 31, 2019

Last NPPES UpdateMay 28, 20202 updates tracked since enumeration

NPPES CertifiedMay 28, 2020

✔ NPI 1336604644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in IL · 209018362✔ Licensed in WA · AP60916521

Also ListedRegistered NurseTaxonomy 163W00000X · License 041465583 (IL), RN60905606 (WA)

225 E CHICAGO AVE, 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 (PECOS)

Nicole Brazg Np 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.

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.

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics