DR. NICOLE ANN HARTSOUGH M.D.
NPI 1962400382
Dermatology in Loves Park, IL
About Dr. Nicole Ann Hartsough M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE ANN HARTSOUGH M.D. (NPI 1962400382) is an individual dermatology provider in Loves Park, Illinois and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicole Ann Hartsough M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOVES PARK, IL 61111
LOVES PARK, IL 61111
LOVES PARK, IL 61111
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 Hartsough's NPI number?
The NPI number for Nicole Hartsough is 1962400382. It was assigned to this individual provider in the NPPES registry on July 10, 2005.
Where is Nicole Hartsough located?
Nicole Hartsough practices at 7402 E Riverside Blvd, Loves Park, IL 61111. The listed phone number is (815) 226-9642.
What is Nicole Hartsough's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Nicole Hartsough enrolled in Medicare?
Yes. Nicole Hartsough is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicole Hartsough was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.