NICOLETTE TELLO RN, CCRN
NPI 1609524982
Nurse Practitioner - Pediatrics in Chicago, IL

Q: What is Nicolette Tello's NPI number?

The NPI number for Nicolette Tello is 1609524982. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Q: What is Nicolette Tello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicolette Tello was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 15, 2022PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicolette Tello Rn, Ccrn NPPES

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

NICOLETTE TELLO RN, CCRN (NPI 1609524982) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209031706) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609524982

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNICOLETTE TELLOCredential: RN, CCRN

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965

Phone(888) 824-0200

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 15, 2022

Last NPPES UpdateOctober 9, 2025

NPPES CertifiedOctober 9, 2025

✔ NPI 1609524982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209031706

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 12434550 (TN)

5841 S MARYLAND AVE, Chicago, IL 60637

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Secondary Practice Location 1

Location 12200 Childrens WayNashville, TN 37232-0005 · Phone (708) 717-4042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolette Tello Rn, Ccrn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325536402

PECOS Enrollment IDI20251021003070

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 60637 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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