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MR. NICHOLAS BRENT KOCH AGPCNP-BC
NPI 1750162780
Nurse Practitioner - Primary Care in Chicago, IL

Active since October 05, 2023PECOS EnrolledAccepts Medicare Assignment
150 E HURON ST STE 1101, CHICAGO, IL 60611(312) 741-8554(312) 216-1779 Get Directions Write a Review

NPPES record last updated: November 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2024, Oct 5, 2023 (2 updates tracked since 2023).

About Mr. Nicholas Brent Koch Agpcnp-bc NPPES

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

MR. NICHOLAS BRENT KOCH AGPCNP-BC (NPI 1750162780) is an individual primary care provider in Chicago, Illinois, licensed in Illinois (209.028387) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750162780
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. NICHOLAS BRENT KOCHCredential: AGPCNP-BC
Location Address150 E HURON ST STE 1101Chicago, IL 60611-2948
Mailing Address150 E Huron St Ste 1101Chicago, IL 60611-2948 · (312) 741-8554 · Fax (312) 216-1779
Phone(312) 741-8554
Fax(312) 216-1779
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 5, 2023
Last NPPES UpdateNovember 23, 20242 updates tracked since enumeration
NPPES CertifiedNovember 23, 2024
✔ NPI 1750162780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209.028387
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209.028387 (IL)
150 E HURON ST STE 1101, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas Brent Koch Agpcnp-bc 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 ID3678086295
PECOS Enrollment IDI20250627001300
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 60611 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEAR NORTH HEALTH SERVICE CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
150 E HURON ST STE 1101
CHICAGO, IL 60611
Cook County (312) 741-8554

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 Nicholas Koch's NPI number?

The NPI number for Nicholas Koch is 1750162780. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Nicholas Koch located?

Nicholas Koch practices at 150 E Huron St Ste 1101, Chicago, IL 60611. The listed phone number is (312) 741-8554.

What is Nicholas Koch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nicholas Koch enrolled in Medicare?

Yes. Nicholas Koch 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.

When was this NPI record last updated?

The NPPES record for Nicholas Koch was last updated on November 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.