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DR. NICOLE DYME D.D.S.
NPI 1508279456
Dentist - General Practice in Evanston, IL

Active since June 09, 2014PECOS Enrolled
1285 HARTREY AVE, EVANSTON, IL 60202(847) 666-3494 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2021, Dec 9, 2015, Dec 4, 2015 (3 updates tracked since 2015).

About Dr. Nicole Dyme D.d.s. NPPES

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

DR. NICOLE DYME D.D.S. (NPI 1508279456) is an individual general practice provider in Evanston, Illinois, licensed in Illinois (019.030330) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508279456
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICOLE DYMECredential: D.D.S.
Location Address1285 HARTREY AVEEvanston, IL 60202-1056
Mailing Address1701 W Superior StChicago, IL 60622-5646
Phone(847) 666-3494
Sole ProprietorNo
Enumeration DateJune 9, 2014
Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
✔ NPI 1508279456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.030330
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1285 HARTREY AVE, Evanston, IL 60202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Dyme D.d.s. 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 60202 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

STEPHANIE JANAE VAN BUREN MD
Family Medicine
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (847) 666-3494
DR. ELIZABETH FELDMAN MD
Family Medicine (Adolescent Medicine)
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (312) 666-3494
RIEL AURELIA LATIMER MD
Family Medicine
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (847) 666-3494
EMILY C WHITE VANGOMPEL MD
Family Medicine
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (847) 666-3494
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (847) 666-2302
SYED MUSTAFA ALAVI M.D.
Family Medicine
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (847) 666-3494
NICOLE LAUREN POTEMPA APN, FNP
Nurse Practitioner
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (847) 666-3494
KINGA TOMCZYK
Social Worker
1285 HARTREY AVE
EVANSTON, IL 60202
Cook County (847) 666-3494

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 Dyme's NPI number?

The NPI number for Nicole Dyme is 1508279456. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Nicole Dyme located?

Nicole Dyme practices at 1285 Hartrey Ave, Evanston, IL 60202. The listed phone number is (847) 666-3494.

What is Nicole Dyme's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nicole Dyme enrolled in Medicare?

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

What insurance does Nicole Dyme accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nicole Dyme as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Dyme was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.