Mrs Ashley Nicole Divine, APRN in Sycamore, IL

Mrs Ashley Nicole Divine, APRN is a medicare enrolled "Nurse Practitioner" in Sycamore, Illinois. Her current practice location is 920 W. Prairie Dr., Suite J, Sycamore, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 895-3354.

Mrs Ashley Nicole Divine is licensed to practice in Illinois (license number 209025054) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861148603.

Contact Information

	Mrs Ashley Nicole Divine, APRN
	920 W. Prairie Dr., Suite J, Sycamore, IL 60178
	(815) 895-3354
	(815) 895-3345

Map and Direction

Provider's Profile

Full Name	Mrs Ashley Nicole Divine
Gender	Female
Speciality	Nurse Practitioner
Location	920 W. Prairie Dr., Sycamore, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861148603
Provider Enumeration Date: 03/01/2022
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 9830586031
Enrollment ID: I20220418001112

Medical Identifiers

Medical identifiers for Mrs Ashley Nicole Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861148603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041392233 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209025054 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Ashley Nicole Divine allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Sycamore Integrated Health Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942547229 PECOS PAC ID: 3678711538 Enrollment ID: O20130604000913

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ashley Nicole Divine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Ashley Nicole Divine, APRN 920 W. Prairie Dr., Suite J, Sycamore, IL 60178 Ph: (815) 895-3354	Mrs Ashley Nicole Divine, APRN 920 W. Prairie Dr., Suite J, Sycamore, IL 60178 Ph: (815) 895-3354

Reviews and Comments

Nurse Practitioner Nurses in Sycamore, IL

Mrs. Jessica R Anderson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 E Plank Rd, Sycamore, IL 60178 Phone: 844-599-3700
Deepak Sharma, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 W State St Apt 101, Sycamore, IL 60178 Phone: 630-550-1058 Fax: 815-205-4545
Megan Fish, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 Gateway Dr Ste 103, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-756-4892
Mrs. Teresa Kay Farris, APN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Drive, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-7298
Jennifer Tarvestad, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-756-4892
Nicole Rodiek, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2127 Midlands Ct Unit 203, Sycamore, IL 60178 Phone: 815-758-8106 Fax: 815-758-8108
Ms. Linda Ann Myers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 760 Foxpointe Dr, Sycamore, IL 60178 Phone: 815-748-8334 Fax: 815-748-1587

Mrs Ashley Nicole Divine, APRN - Medicare Nurse Practitioner in Sycamore, IL