JENNIFER A NICHOLS ACNPC-AG
NPI 1336745785
Nurse Practitioner - Acute Care in Glendale Heights, IL

Q: 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.

Q: What is Jennifer Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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.

Active since December 10, 2020PECOS EnrolledAccepts Medicare Assignment

701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139(630) 545-8000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2021, Dec 10, 2020 (2 updates tracked since 2020).

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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

NPI1336745785

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNIFER A NICHOLSCredential: ACNPC-AG

Location Address701 WINTHROP AVEGlendale Heights, IL 60139-1405

Mailing Address5143 Grand AveDowners Grove, IL 60515-5120 · (630) 742-9419

Phone(630) 545-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 10, 2020

Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration

NPPES CertifiedMarch 26, 2024

✔ NPI 1336745785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209022126

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209022126 (IL)

701 WINTHROP AVE, Glendale Heights, IL 60139

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11890 Silver Cross Blvd Ste 350New Lenox, IL 60451-9603 · Phone (815) 717-8737 · Fax (815) 717-8699

Location 2303 E Army Trail RdBloomingdale, IL 60108-2169 · Phone (224) 653-8946

Location 33743 Highland AveDowners Grove, IL 60515-1594 · Phone (630) 967-6125

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

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.

PECOS PAC ID7416356126

PECOS Enrollment IDI20210601000692

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.

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, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician 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.

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.

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.

ADVENTIST HEALTH PARTNERS, INC

Internal Medicine

701 WINTHROP AVE
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 312-3932

DONKA DONCHEV

Social Worker (Clinical)

701 WINTHROP AVE
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 545-8000

NIRALI R PARIKH MD LLC

Internal Medicine

701 WINTHROP AVE, AMBULATORY CARE
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 909-9050

DR. JOSEPH SHANAHAN MD

Family Medicine

701 WINTHROP AVE
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 545-5700

ADVENTIST GLENOAKS HOSPITAL

Internal Medicine (Cardiovascular Disease)

701 WINTHROP AVE
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 545-8275

DR. ROBERT KEMPF MD

Emergency Medicine

701 WINTHROP AVE
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 545-5700

ADVENTIST HEALTH PARTNERS, INC

Family Medicine

701 WINTHROP AVE, ADVENTIST GLENOAKS ED
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 545-5600

ACUTE CARE SPECIALISTS II, LTD

Emergency Medicine

701 WINTHROP AVE
GLENDALE HEIGHTS, IL 60139

Dupage County (630) 545-8000

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.

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.