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BROOKE NICHOLS RDN
NPI 1861246589
Dietitian, Registered in Chicago, IL

Active since April 17, 2024
5841 S MARYLAND AVE # MC5100, CHICAGO, IL 60637(847) 757-3634 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brooke Nichols Rdn NPPES

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

BROOKE NICHOLS RDN (NPI 1861246589) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164.010196) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1861246589
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBROOKE NICHOLSCredential: RDN
Location Address5841 S MARYLAND AVE # MC5100Chicago, IL 60637-1443
Mailing Address1154 Golden Oaks PkwyAurora, IL 60506-6371 · (847) 757-3634
Phone(847) 757-3634
Sole ProprietorNo
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1861246589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164.010196
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
5841 S MARYLAND AVE # MC5100, Chicago, IL 60637
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Nichols Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Brooke Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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

Other Providers at the Same Location NPPES 8

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

DR. TOMOKI TSUKAHARA M.D.
Internal Medicine (Nephrology)
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-3630
MS. KAREN MARIE HEFFERNAN FNP
Nurse Practitioner (Family)
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-9892
SARA ADELINA CUADRA ARUGUETE MD
Internal Medicine (Nephrology)
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-3630
JUHI BHARGAVA MBBS
Internal Medicine (Nephrology)
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-3630
DR. LOUIS GEORGE BAESEMAN MD
Internal Medicine (Nephrology)
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-6134
DR. ISABELLE DOMINIQUE VILLEGAS TOMACRUZ MD
Internal Medicine (Nephrology)
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-3630
THOMAS SCOTT DENT MS, LCGC
Genetic Counselor, MS
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-3359
ALI SHAH M.D.
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC5100
CHICAGO, IL 60637
Cook County (773) 702-3630

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 Brooke Nichols's NPI number?

The NPI number for Brooke Nichols is 1861246589. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Brooke Nichols located?

Brooke Nichols practices at 5841 S Maryland Ave # Mc5100, Chicago, IL 60637. The listed phone number is (847) 757-3634.

What is Brooke Nichols's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Brooke Nichols enrolled in Medicare?

Yes. Brooke Nichols is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brooke Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Nichols reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, 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 Brooke Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Nichols accept?

Health plans from PacificSource Health Plans list Brooke Nichols 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 Brooke Nichols was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.