DR. NICOLE DYME D.D.S.
NPI 1508279456
Dentist - General Practice in Evanston, IL
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Dyme reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evanston, IL 60202
- Reassigned Medicare billing, Illinois enrollment
- 383 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.
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.
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.
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.
Which organization bills Medicare for Nicole Dyme's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dyme reassigns Medicare benefits to Erie Family Health Center Inc (Evanston, IL). The 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 Dyme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Dyme accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Humana 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 5 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.
# Dr. Nicole Dyme, D.D.S. · NPI 1508279456
General Practice provider in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since June 9, 2014.
## Identity
- **NPI:** 1508279456 (Entity type: Individual)
- **Enumerated:** June 9, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019.030330 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1285 HARTREY AVE, Evanston, IL 60202-1056
- **Phone:** (847) 666-3494
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Erie Family Health Center Inc (NPI 1629328836, Evanston, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1508279456) · Data from the CMS NPPES public registry.