1. Home
  2. Directory
  3. Illinois
  4. Mchenry
  5. Internal Medicine
  6. NPI Profile

NICOLAS GISELLIE
NPI 1669221438
Internal Medicine in Mchenry, IL

Active since May 15, 2024PECOS Enrolled
4201 MEDICAL CENTER DRIVE, MCHENRY, IL 60050(848) 203-0108 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, May 15, 2024 (2 updates tracked since 2024).

About Nicolas Gisellie NPPES

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

NICOLAS GISELLIE (NPI 1669221438) is an individual internal medicine provider in Mchenry, Illinois, licensed in Illinois (125084580) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669221438
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICOLAS GISELLIE
Location Address4201 MEDICAL CENTER DRIVEMchenry, IL 60050
Mailing Address4201 Medical Center DriveMchenry, IL 60050 · (848) 203-0108
Phone(848) 203-0108
Sole ProprietorNo
Enumeration DateMay 15, 2024
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
✔ NPI 1669221438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125084580
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4201 MEDICAL CENTER DRIVE, Mchenry, IL 60050
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas Gisellie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60050 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

MISS LAVANYA NAGARAJAN M.B.B.S.
Internal Medicine
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (815) 759-4726
VISHAL GARIMELLA M.B.B.S.
Internal Medicine
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (815) 344-5000
YOANA PALATIANOS DE ARAUJO M.D.
Internal Medicine
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (815) 759-4726
MS. SONIKA BINDU PRASAD MD
Internal Medicine
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (315) 338-6600
TATHAGATO DAS M.D.
Student in an Organized Health Care Education/Training Program
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (815) 344-5000
SIAD MOHAMMED ADAM M.D
Internal Medicine
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (815) 344-5000
AMNA TARIQ
Internal Medicine
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (815) 344-5000
MRS. DIANE MARIE GLICK APN-CNP
Nurse Practitioner
4201 MEDICAL CENTER DRIVE
MCHENRY, IL 60050
McHenry County (224) 520-3434

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 Nicolas Gisellie's NPI number?

The NPI number for Nicolas Gisellie is 1669221438. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Nicolas Gisellie located?

Nicolas Gisellie practices at 4201 Medical Center Drive, Mchenry, IL 60050. The listed phone number is (848) 203-0108.

What is Nicolas Gisellie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicolas Gisellie enrolled in Medicare?

Yes. Nicolas Gisellie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolas Gisellie was last updated on August 2, 2024. 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.