NICOLE FORTUNA
NPI 1699169664
Pediatrics in Chicago, IL

Q: What is Nicole Fortuna's NPI number?

The NPI number for Nicole Fortuna is 1699169664. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Q: What is Nicole Fortuna's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Fortuna was last updated on January 3, 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.

Active since March 26, 2015PECOS Enrolled

1801 W TAYLOR ST, CHICAGO, IL 60612(312) 996-7416 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 3, 2024, Apr 15, 2019 (2 updates tracked since 2019).

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About Nicole Fortuna NPPES

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

NICOLE FORTUNA (NPI 1699169664) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036.166344) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699169664

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNICOLE FORTUNA

Location Address1801 W TAYLOR STChicago, IL 60612-4795

Mailing AddressPo Box 778789Chicago, IL 60677-8789

Phone(312) 996-7416

Sole ProprietorNo

Enumeration DateMarch 26, 2015

Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1699169664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036.166344

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1801 W TAYLOR ST, Chicago, IL 60612

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Other Identifiers 1

Medicaid1699169664WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Fortuna 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 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

$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.

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.

MATTHEW BRENNER-JEDWABNIK PA-C

Physician Assistant

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (847) 207-6228

DR. EDUARDO FERNANDES MD, PHD

Surgery

1801 W TAYLOR ST, OCC-3F
CHICAGO, IL 60612

Cook County (312) 355-1493

DR. MELANI LIGHTER MD

Surgery

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 355-4300

JAMES STEVEN FEINBERG MD

Dermatology (Procedural Dermatology)

1801 W TAYLOR ST, 3E
CHICAGO, IL 60612

Cook County (312) 996-1193

MRS. KIMBERLY YORMARK MS, AGACNP

Nurse Practitioner (Acute Care)

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (866) 600-2273

DR. ANDERS MELLGREN MD

Colon & Rectal Surgery

1801 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612

Cook County (312) 355-4300

MILENA J. LYON M.D.

Dermatology

1801 W TAYLOR ST, SUITE 3E
CHICAGO, IL 60612

Cook County (312) 996-8666

MR. DANIEL ROBERT BAMRICK-FERNANDEZ MD, MBA

Dermatology

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 996-0106

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 Fortuna's NPI number?

The NPI number for Nicole Fortuna is 1699169664. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Nicole Fortuna located?

Nicole Fortuna practices at 1801 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 996-7416.

What is Nicole Fortuna's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Fortuna enrolled in Medicare?

Yes. Nicole Fortuna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Fortuna was last updated on January 3, 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.