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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NISHA PAPPACHAN NP
NPI 1609408814
Nurse Practitioner in Downers Grove, IL

Active since February 05, 2020PECOS EnrolledAccepts Medicare Assignment
1440 BRANDING AVE, SUITE 310, DOWNERS GROVE, IL 60515(262) 693-4402(708) 283-5599 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2022, Oct 4, 2021, Feb 21, 2020 and 1 more (4 updates tracked since 2020).

About Nisha Pappachan Np NPPES

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

NISHA PAPPACHAN NP (NPI 1609408814) is an individual nurse practitioner in Downers Grove, Illinois, licensed in Illinois (209024079) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609408814
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNISHA PAPPACHANCredential: NP
Location Address1440 BRANDING AVE, SUITE 310Downers Grove, IL 60515
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(262) 693-4402
Fax(708) 283-5599
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 5, 2020
Last NPPES UpdateJune 19, 20264 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1609408814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209024079
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209024079 (IL)
1440 BRANDING AVE, Downers Grove, IL 60515
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Secondary Practice Locations 2

Location 118210 La Grange Rd Ste 209Tinley Park, IL 60487-7728 · Phone (708) 478-7873 · Fax (708) 342-7956
Location 21111 E 87th StChicago, IL 60619-7038 · Phone (888) 977-6673

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 and accepts Medicare assignment

Nisha Pappachan Np 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 ID7214368372
PECOS Enrollment IDI20211230001625
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services126 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers77 claims77 services$32.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers53 claims53 services$70.15 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers40 claims105 services$27.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers26 claims126 services$14.91 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers20 claims92 services$13.66 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers44 claims44 services$47.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nisha Pappachan's NPI number?

The NPI number for Nisha Pappachan is 1609408814. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Where is Nisha Pappachan located?

Nisha Pappachan practices at 1440 Branding Ave Suite 310, Downers Grove, IL 60515. The listed phone number is (262) 693-4402.

What is Nisha Pappachan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nisha Pappachan enrolled in Medicare?

Yes. Nisha Pappachan 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.

What insurance does Nisha Pappachan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nisha Pappachan 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.

Is Nisha Pappachan affiliated with any hospitals?

According to CMS data, Nisha Pappachan is affiliated with Advocate Illinois Masonic Medical Center and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Nisha Pappachan was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.