JENNIFER A NICHOLS ACNPC-AG
NPI 1336745785
Nurse Practitioner - Acute Care in Glendale Heights, IL
About Jennifer A Nichols Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER A NICHOLS ACNPC-AG (NPI 1336745785) is an individual acute care provider in Glendale Heights, Illinois, licensed in Illinois (209022126) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer A Nichols Acnpc-ag 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61636
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1164474755 (Illinois)
- 693 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Medical Center Of Illinois
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GLENDALE HEIGHTS, IL 60139
GLENDALE HEIGHTS, IL 60139
GLENDALE HEIGHTS, IL 60139
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 Jennifer Nichols's NPI number?
The NPI number for Jennifer Nichols is 1336745785. It was assigned to this individual provider in the NPPES registry on December 10, 2020.
Where is Jennifer Nichols located?
Jennifer Nichols practices at 701 Winthrop Ave, Glendale Heights, IL 60139. The listed phone number is (630) 545-8000.
What is Jennifer Nichols's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jennifer Nichols enrolled in Medicare?
Yes. Jennifer Nichols 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.
Which organizations bill Medicare for Jennifer Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Nichols reassigns Medicare benefits to 2 organizations: Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, IL). 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 Jennifer Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jennifer Nichols affiliated with any hospitals?
According to CMS data, Jennifer Nichols is affiliated with Methodist Medical Center Of Illinois.
When was this NPI record last updated?
The NPPES record for Jennifer Nichols was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jennifer A Nichols, ACNPC-AG · NPI 1336745785
Acute Care physician in Glendale Heights, Illinois. Individual provider, active in the CMS NPPES registry since December 10, 2020.
## Identity
- **NPI:** 1336745785 (Entity type: Individual)
- **Enumerated:** December 10, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209022126 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 WINTHROP AVE, Glendale Heights, IL 60139-1405
- **Phone:** (630) 545-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Methodist Medical Center Of Illinois (NPI 1275583155, Peoria, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336745785) · Data from the CMS NPPES public registry.