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MS. JACQUELINE M. NICHOLS
NPI 1821752494
Nurse Practitioner in Lombard, IL

Active since October 28, 2021PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
130 S MAIN ST # 1, LOMBARD, IL 60148(630) 527-3645 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Jacqueline M. Nichols NPPES

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

MS. JACQUELINE M. NICHOLS (NPI 1821752494) is an individual nurse practitioner in Lombard, Illinois, licensed in Illinois (209024109) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains a secondary practice location in Addison.

NPPES Registry Identity

NPI1821752494
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. JACQUELINE M. NICHOLS
Location Address130 S MAIN ST # 1Lombard, IL 60148-2670
Mailing Address506 E Highland AveMount Prospect, IL 60056-2138 · (847) 807-9116
Phone(630) 527-3645
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2021
Last NPPES UpdateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1821752494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209024109
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.024109 (IL)
130 S MAIN ST # 1, Lombard, IL 60148
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Secondary Practice Location 1

Location 1303 W Lake St # 1Addison, IL 60101-2586

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. Jacqueline M. Nichols 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 ID8628469590
PECOS Enrollment IDI20220104000227
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 Reassignments

4

Medicare enrollment records show Jacqueline Nichols reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elmhurst Memorial Hospital
3.8 mi
General Acute Care Hospital
155 E BRUSH HILL RD
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 205 clinicians in this Medicare group
NPI 1548306343 (331) 221-1000
Edward Health Ventures
3.9 mi
Clinic/Center
4 E OGDEN AVE
Westmont, IL 60559
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1275903494 (331) 221-2810
Edward Hospital
9.8 mi
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
NPI 1013969013 (630) 655-0450
Endeavor Health Medical Group
22 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
130 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services53 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
31 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
17 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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 Jacqueline Nichols's NPI number?

The NPI number for Jacqueline Nichols is 1821752494. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Jacqueline Nichols located?

Jacqueline Nichols practices at 130 S Main St # 1, Lombard, IL 60148. The listed phone number is (630) 527-3645.

What is Jacqueline Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacqueline Nichols enrolled in Medicare?

Yes. Jacqueline Nichols 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 organizations bill Medicare for Jacqueline Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Nichols reassigns Medicare benefits to 4 organizations: Elmhurst Memorial Hospital (Elmhurst, IL), Edward Health Ventures (Westmont, IL), Edward Hospital (Naperville, IL) and Endeavor Health Medical Group (Evanston, IL). Each 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 Jacqueline Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacqueline Nichols affiliated with any hospitals?

According to CMS data, Jacqueline Nichols is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Nichols was last updated on May 4, 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.