NICOLE M HEATH PH.D.
NPI 1649561374
Psychologist - Clinical in Chicago, IL

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment
1645 W JACKSON BLVD, SUITE 400, CHICAGO, IL 60612(312) 942-5932(312) 942-4990 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole M Heath Ph.d. NPPES

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

NICOLE M HEATH PH.D. (NPI 1649561374) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071-007997) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1649561374
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLE M HEATHCredential: PH.D.
Location Address1645 W JACKSON BLVD, SUITE 400Chicago, IL 60612-3276
Mailing Address1645 W Jackson Blvd, Suite 400Chicago, IL 60612-3276 · (312) 942-5932 · Fax (312) 942-4990
Fax(312) 942-4990
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 28, 2011
✔ NPI 1649561374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071-007997
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1645 W JACKSON BLVD, Chicago, IL 60612

Accepted Insurance

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

Nicole M Heath Ph.d. 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 ID5193902542
PECOS Enrollment IDI20110610000657
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 Reassignment

Medicare enrollment records show Nicole Heath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 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.

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
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.

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.

Pediatrics
1645 W JACKSON BLVD, STE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Social Worker (Clinical)
1645 W JACKSON BLVD, SUITE 302
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 215
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
1645 W JACKSON BLVD, SUITE 600
CHICAGO, IL 60612

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 Heath's NPI number?

The NPI number for Nicole Heath is 1649561374. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Nicole Heath located?

Nicole Heath practices at 1645 W Jackson Blvd Suite 400, Chicago, IL 60612. The listed phone number is (312) 942-5932.

What is Nicole Heath's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Heath enrolled in Medicare?

Yes. Nicole Heath 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 organization bills Medicare for Nicole Heath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Heath reassigns Medicare benefits to Rush University Medical Center (Chicago, 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 Heath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Heath accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nicole Heath 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 Nicole Heath affiliated with any hospitals?

According to CMS data, Nicole Heath is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Heath was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.