1. Home
  2. Directory
  3. Illinois
  4. Evanston
  5. Obstetrics Gynecology
  6. NPI Profile

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: October 25, 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
Phone(847) 869-3300
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 CENTRAL ST STE 700, Evanston, IL 60201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Center For Women's Health Care, Ltd.
14 mi
Obstetrics & Gynecology
2801 LAKESIDE DR STE 209
Bannockburn, IL 60015
  • Reassigned Medicare billing, Illinois enrollment
  • 120 clinicians in this Medicare group
NPI 1447200654 (847) 562-1410
Obhg Illinois Sc
17 mi
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
NPI 1700107216 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARA DUBNOW
Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Cook County (847) 869-3300
HANNAH RAFF
Obstetrics & Gynecology (Obstetrics)
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Cook County (847) 869-3300
DR. MIRIAH D PLAWER-VOLMERDING MD
Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Cook County (847) 869-3300
DR. MELISSA KEENE M.D.
Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Cook County (847) 869-3300
DR. STEPHANIE ANN HERATY MD
Obstetrics & Gynecology
1000 CENTRAL ST STE 700
EVANSTON, IL 60201
Cook County (847) 869-3300

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.

Which organizations bill Medicare for Jacqueline Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Nichols reassigns Medicare benefits to 2 organizations: Midwest Center For Women's Health Care, Ltd. (Bannockburn, IL) and Obhg Illinois Sc (Berwyn, IL). Each 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 Jacqueline Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.