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MS. NICOLE S. NETTGEN CNM
NPI 1730212309
Advanced Practice Midwife in Kankakee, IL

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
375 N WALL ST, SUITE P630, KANKAKEE, IL 60901(815) 933-4510(815) 933-4259 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Nicole S. Nettgen Cnm NPPES

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

MS. NICOLE S. NETTGEN CNM (NPI 1730212309) is an individual advanced practice midwife in Kankakee, Illinois, licensed in Illinois (209-003302) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1730212309
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMS. NICOLE S. NETTGENCredential: CNM
Location Address375 N WALL ST, SUITE P630Kankakee, IL 60901-3483
Mailing Address1007 Lark LnShorewood, IL 60404-9649 · (815) 933-4510 · Fax (815) 933-4259
Phone(815) 933-4510
Fax(815) 933-4259
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 13, 2007
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1730212309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in IL · 209-003302
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
375 N WALL ST, Kankakee, IL 60901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Ms. Nicole S. Nettgen Cnm 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 ID648411538
PECOS Enrollment IDI20130718000174
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 Nettgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Anthony Health Affiliates
49 mi
Multi-Specialty
4192 S ARCHER AVE
Chicago, IL 60632
  • Reassigned Medicare billing, Illinois enrollment
  • 210 clinicians in this Medicare group
NPI 1295757771 (773) 254-2222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

VIJAY M. HARYANI, MD, SC
Internal Medicine (Cardiovascular Disease)
375 N WALL ST, SUITE 310
KANKAKEE, IL 60901
Kankakee County (815) 936-3240
AGATA GEBALA
Physician Assistant
375 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
DR. JOEL N SLUTSKY MD
Urology
375 N WALL ST, STE P530
KANKAKEE, IL 60901
Kankakee County (815) 937-4006
MED-PEDS ASSOCIATES,P.C.
Pediatrics
375 N WALL ST, STE P520
KANKAKEE, IL 60901
Kankakee County (815) 933-0194
WESTWOOD OBSTETRICS & GYNECOLOGY
Obstetrics & Gynecology
375 N WALL ST, STE P410
KANKAKEE, IL 60901
Kankakee County (815) 932-7474
MS. PATRICIA AZZARELLI LYNCH CNP
Obstetrics & Gynecology
375 N WALL ST, STE P410
KANKAKEE, IL 60901
Kankakee County (815) 932-7474
DR. LUBOW OLGA LEWICKY MD
Obstetrics & Gynecology
375 N WALL ST, SUITE P410
KANKAKEE, IL 60901
Kankakee County (815) 932-7474
MUSTAFA MEER ALI DO
Internal Medicine
375 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671

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 Nettgen's NPI number?

The NPI number for Nicole Nettgen is 1730212309. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Nicole Nettgen located?

Nicole Nettgen practices at 375 N Wall St Suite P630, Kankakee, IL 60901. The listed phone number is (815) 933-4510.

What is Nicole Nettgen's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nicole Nettgen enrolled in Medicare?

Yes. Nicole Nettgen 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 Nettgen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nettgen reassigns Medicare benefits to Saint Anthony Health Affiliates (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 Nettgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Nettgen accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nicole Nettgen 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.

When was this NPI record last updated?

The NPPES record for Nicole Nettgen was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.