NICOLE AMBROGIO PA-C
NPI 1366303984
Physician Assistant - Surgical in Bartlett, IL

Active since November 21, 2025PECOS Enrolled
1110 W SCHICK RD, BARTLETT, IL 60103(630) 372-1100 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Ambrogio Pa-c NPPES

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

NICOLE AMBROGIO PA-C (NPI 1366303984) is an individual surgical provider in Bartlett, Illinois and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366303984
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE AMBROGIOCredential: PA-C
Location Address1110 W SCHICK RDBartlett, IL 60103-3007
Mailing Address1110 W Schick RdBartlett, IL 60103-3007
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1366303984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1110 W SCHICK RD, Bartlett, IL 60103

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 Ambrogio Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426534777
PECOS Enrollment IDI20260107002087
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.

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.

Physician Assistant
1110 W SCHICK RD
BARTLETT, IL 60103
Physical Medicine & Rehabilitation
1110 W SCHICK RD
BARTLETT, IL 60103
Non-Pharmacy Dispensing Site
1110 W SCHICK RD
BARTLETT, IL 60103
Specialist/Technologist (Athletic Trainer)
1110 W SCHICK RD
BARTLETT, IL 60103
Orthopaedic Surgery
1110 W SCHICK RD
BARTLETT, IL 60103
Physical Therapist
1110 W SCHICK RD
BARTLETT, IL 60103
Orthopaedic Surgery
1110 W SCHICK RD
BARTLETT, IL 60103
Physician Assistant
1110 W SCHICK RD
BARTLETT, IL 60103

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 Ambrogio's NPI number?

The NPI number for Nicole Ambrogio is 1366303984. It was assigned to this individual provider in the NPPES registry on November 21, 2025.

Where is Nicole Ambrogio located?

Nicole Ambrogio practices at 1110 W Schick Rd, Bartlett, IL 60103. The listed phone number is (630) 372-1100.

What is Nicole Ambrogio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Ambrogio enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Ambrogio was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.