NICOLETTE SMITH
NPI 1760143762
Physician Assistant in Chicago, IL

Q: What is Nicolette Smith's NPI number?

The NPI number for Nicolette Smith is 1760143762. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Q: What is Nicolette Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolette Smith was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 03, 2022PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Jan 10, 2022, Jan 4, 2022 (3 updates tracked since 2022).

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About Nicolette Smith NPPES

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

NICOLETTE SMITH (NPI 1760143762) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.009812) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1760143762

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLETTE SMITH

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address240 E Huron St Ste 1-200 Pa ProgramChicago, IL 60611-2909 · (312) 503-1851

Phone(312) 227-4000

Sole ProprietorNo

Enumeration DateJanuary 3, 2022

Last NPPES UpdateSeptember 27, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2023

✔ NPI 1760143762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.009812

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

225 E CHICAGO AVE, Chicago, IL 60611

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Secondary Practice Location 1

Location 1240 E Huron St Ste 1-200Chicago, IL 60611-2909 · Phone (312) 503-1851

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolette Smith 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 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics