JACQUELINE WYNNE NICHOLS MD
NPI 1639639685
Obstetrics & Gynecology in Evanston, IL

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment
75.35/100
CMS Quality Rating
1000 CENTRAL ST STE 700, EVANSTON, IL 60201(847) 869-3300(847) 869-1303 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Mar 24, 2019 (2 updates tracked since 2019).

About Jacqueline Wynne Nichols Md NPPES

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

JACQUELINE WYNNE NICHOLS MD (NPI 1639639685) is an individual obstetrics & gynecology provider in Evanston, Illinois, licensed in Illinois (036166140) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2019).

NPPES Registry Identity

NPI1639639685
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJACQUELINE WYNNE NICHOLSCredential: MD
Location Address1000 CENTRAL ST STE 700Evanston, IL 60201-1769
Mailing Address2801 Lakeside Dr Ste 209Bannockburn, IL 60015-1200 · (847) 562-1410 · Fax (847) 929-4605
Fax(847) 869-1303
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2019
Enumeration DateMarch 24, 2019
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1639639685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036166140
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1000 CENTRAL ST STE 700, Evanston, IL 60201

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

Jacqueline Wynne Nichols Md 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 ID244565232
PECOS Enrollment IDI20231117000253
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.

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.73
Promoting Interoperability100
Improvement Activities40
Cost28.1

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Obstetrics & Gynecology (Obstetrics)
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201

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 Jacqueline Nichols's NPI number?

The NPI number for Jacqueline Nichols is 1639639685. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Jacqueline Nichols located?

Jacqueline Nichols practices at 1000 Central St Ste 700, Evanston, IL 60201. The listed phone number is (847) 869-3300.

What is Jacqueline Nichols's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Nichols enrolled in Medicare?

Yes. Jacqueline Nichols 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.

Is Jacqueline Nichols affiliated with any hospitals?

According to CMS data, Jacqueline Nichols is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Nichols was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.