Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE Q WILSON A.P.N,
NPI 1972056109
Nurse Practitioner - Family in Chicago, IL

Active since July 23, 2016PECOS EnrolledAccepts Medicare Assignment
2200 E 93RD ST, CHICAGO, IL 60617(773) 530-7356 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Dec 8, 2025, Feb 24, 2023 and 2 more (5 updates tracked since 2019).

About Nicole Q Wilson A.p.n, NPPES

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

NICOLE Q WILSON A.P.N, (NPI 1972056109) is an individual family provider in Chicago, Illinois, licensed in Illinois (277.000623) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972056109
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE Q WILSONCredential: A.P.N,
Location Address2200 E 93RD STChicago, IL 60617-3905
Mailing Address2200 E 93rd StChicago, IL 60617-3905 · (773) 530-7356
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 23, 2016
Last NPPES UpdateAugust 31, 20265 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1972056109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 277.000623✔ Licensed in FL · 11049419✔ Licensed in WY · AP70151971✔ Licensed in AZ · 276326✔ Licensed in NH · 117277-21✔ Licensed in CT · 24879388
2200 E 93RD ST, Chicago, IL 60617

Secondary Practice Locations 3

Location 1111 W Jackson Blvd Ste 1700Chicago, IL 60604-3597 · Phone (888) 731-8994
Location 22315 E 93rd St Ste 339Chicago, IL 60617-3916 · Phone (773) 530-7356
Location 321660 W Field PkwyDeer Park, IL 60010-7265 · Phone (888) 803-3370

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

Nicole Q Wilson A.p.n, 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 ID4183990971
PECOS Enrollment IDI20171023002115
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

6

Medicare enrollment records show Nicole Wilson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2315 EAST 93RD STREET, SUITE 440
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 191 clinicians in this Medicare group
Nephrology
18W140 BUTTERFIELD RD FL 15, STE1523A
Oakbrook Terrace, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 43 clinicians in this Medicare group
Nurse Practitioner
2312 TOUHY AVE
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
Family Medicine
400 N TAMPA ST FL 15
Tampa, FL 33602
  • Reassigned Medicare billing, Illinois enrollment
  • 32 clinicians in this Medicare group
Lifeline Physicians LLC
  • Reassigned Medicare billing, Illinois enrollment
  • 19 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES

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

Family Medicine
2200 E 93RD ST
CHICAGO, IL 60617

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 Wilson's NPI number?

The NPI number for Nicole Wilson is 1972056109. It was assigned to this individual provider in the NPPES registry on July 23, 2016.

Where is Nicole Wilson located?

Nicole Wilson practices at 2200 E 93rd St, Chicago, IL 60617. The listed phone number is (773) 530-7356.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Wilson enrolled in Medicare?

Yes. Nicole Wilson 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 Nicole Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wilson reassigns Medicare benefits to 6 organizations: Anointed Health Partners Limited (Chicago, IL), Cmc Healthcare LLC (Evanston, IL), Cardiorenal Therapeutics Of Illinois PLLC (Oakbrook Terrace, IL), Transitions Home Medical Group PLLC (Elk Grove Village, IL), Circle Medical Care Group PA (Tampa, FL) and 1 more organization, listed in the Medicare section above. 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 Nicole Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.