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NICOLE KRISTEN FISCH PA-C
NPI 1811494917
Physician Assistant - Surgical in Highland Park, IL

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
777 PARK AVE W, HIGHLAND PARK, IL 60035(847) 570-2868(847) 733-5005 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 23, 2026, Mar 20, 2026, Jan 23, 2026 and 3 more (6 updates tracked since 2020).

About Nicole Kristen Fisch Pa-c NPPES

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

NICOLE KRISTEN FISCH PA-C (NPI 1811494917) is an individual surgical provider in Highland Park, Illinois, licensed in Illinois (085006561) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Palos Heights.

NPPES Registry Identity

NPI1811494917
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE KRISTEN FISCHCredential: PA-C
Location Address777 PARK AVE WHighland Park, IL 60035-2433
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315
Phone(847) 570-2868
Fax(847) 733-5005
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 6, 2018
Last NPPES UpdateMarch 23, 20266 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1811494917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085006561
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085006561 (IL)
777 PARK AVE W, Highland Park, IL 60035
Open in Google Maps ↗

Secondary Practice Location 1

Location 112251 S 80th AvePalos Heights, IL 60463-1290 · Phone (708) 923-4200 · Fax (708) 923-4201

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

Nicole Kristen Fisch Pa-c 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 ID2769746833
PECOS Enrollment IDI20180426001584
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

RUBY G. GUBAT CNS
Clinical Nurse Specialist
777 PARK AVE W, EP LAB, RM 1111
HIGHLAND PARK, IL 60035
Lake County (847) 480-2641
MRS. JENNIFER B RIFIS-MENG OTR/L
Occupational Therapist (Hand)
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3920
LAURA ANN CUMBY MA CCC-SLP
Speech-Language Pathologist
777 PARK AVE W, ROOM 2102
HIGHLAND PARK, IL 60035
Lake County (847) 480-3920
OLIVIA KATHRYN MASON PA-C
Physician Assistant (Surgical)
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 432-9000
REBECCA F NISHIMOTO PA-C
Physician Assistant (Surgical)
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 926-5844
MS. IRIS NUNAG PA-C
Physician Assistant
777 PARK AVE W, DEPARTMENT OF SURGERY
HIGHLAND PARK, IL 60035
Lake County (847) 926-5844
EMILY ANNE KOHLER PA-C
Physician Assistant
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 432-8000
ANGELA MARIE PECORA PA-C
Physician Assistant (Surgical)
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 432-8000

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 Fisch's NPI number?

The NPI number for Nicole Fisch is 1811494917. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Nicole Fisch located?

Nicole Fisch practices at 777 Park Ave W, Highland Park, IL 60035. The listed phone number is (847) 570-2868.

What is Nicole Fisch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Fisch enrolled in Medicare?

Yes. Nicole Fisch 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.

Is Nicole Fisch affiliated with any hospitals?

According to CMS data, Nicole Fisch is affiliated with Northshore University Healthsystem - Evanston Hospital and Palos Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Fisch was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.