NICOLE MARIE ROACH PA-C
NPI 1902378821
Physician Assistant in Hinsdale, IL

Active since December 18, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8 SALT CREEK LN, HINSDALE, IL 60521(630) 527-3645(331) 221-2712 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Jan 4, 2022, Feb 1, 2019 and 1 more (4 updates tracked since 2018).

About Nicole Marie Roach Pa-c NPPES

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

NICOLE MARIE ROACH PA-C (NPI 1902378821) is an individual physician assistant in Hinsdale, Illinois, licensed in Illinois (085008719) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902378821
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE ROACHCredential: PA-C
Location Address8 SALT CREEK LNHinsdale, IL 60521-2903
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700
Fax(331) 221-2712
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 18, 2018
Last NPPES UpdateApril 15, 20254 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
NPI 1902378821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IL · 085008719 Licensed in MN · 12900
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.

8 SALT CREEK LN, Hinsdale, IL 60521

Secondary Practice Locations 4

Location 115300 Grove Cir NMaple Grove, MN 55369-4469 · Phone (763) 447-2507
Location 227240 W Saxony DrChannahon, IL 60410-1416 · Phone (815) 521-1500
Location 3100 Gore RdMorris, IL 60450-9466 · Phone (815) 364-8919
Location 41450 E Division StDiamond, IL 60416-6050 · Phone (815) 634-3500

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 Marie Roach 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 ID7416296538
PECOS Enrollment IDI20220124001526, I20260205000934
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
68 services66 patients
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.
34 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Morris Hospital & Healthcare Centers

Acute Care Hospitals · Morris, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140101
Location150 W High StMorris, IL 60450 · Grundy County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

Other Providers at the Same Location NPPES 10

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

Physician Assistant
8 SALT CREEK LN
HINSDALE, IL 60521
Social Worker (Clinical)
8 SALT CREEK LN
HINSDALE, IL 60521
Psychiatry & Neurology (Psychiatry)
8 SALT CREEK LN, SUITE 202
HINSDALE, IL 60521
Counselor
8 SALT CREEK LN, SUITE 202
HINSDALE, IL 60521
Social Worker (Clinical)
8 SALT CREEK LN
HINSDALE, IL 60521
Nurse Practitioner (Psychiatric/Mental Health)
8 SALT CREEK LN
HINSDALE, IL 60521
Nurse Practitioner
8 SALT CREEK LN
HINSDALE, IL 60521
Social Worker (Clinical)
8 SALT CREEK LN
HINSDALE, IL 60521

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 Roach's NPI number?

The NPI number for Nicole Roach is 1902378821. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Nicole Roach located?

Nicole Roach practices at 8 Salt Creek Ln, Hinsdale, IL 60521. The listed phone number is (630) 527-3645.

What is Nicole Roach's specialty?

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

Is Nicole Roach enrolled in Medicare?

Yes. Nicole Roach 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 Roach affiliated with any hospitals?

According to CMS data, Nicole Roach is affiliated with Macneal Hospital, Morris Hospital & Healthcare Centers and Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Roach was last updated on April 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.