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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Brazg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lurie Children's Medical Group Inc
Same address
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412
Seattle Children's Hospital
1,735 mi
Primary Care
3939 S OTHELLO ST STE 101
Seattle, WA 98118
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1134251747 (206) 987-7200

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

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
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

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 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.

Where is Nicole Brazg located?

Nicole Brazg practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (425) 445-1865.

What is Nicole Brazg's specialty?

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

Is Nicole Brazg enrolled in Medicare?

Yes. Nicole Brazg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Brazg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Brazg reassigns Medicare benefits to 2 organizations: Lurie Children's Medical Group Inc (Chicago, IL) and Seattle Children's Hospital (Seattle, WA). 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 Nicole Brazg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.