Genevieve San Nicolas, APRN, AGACNP-BC, DNP - Medicare Nurse Practitioner in Chicago, IL

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Genevieve San Nicolas, APRN, AGACNP-BC, DNP is a medicare enrolled "Nurse Practitioner" in Chicago, Illinois. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 251 E Huron St Ste 5-704, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 695-0061.

Genevieve San Nicolas is licensed to practice in Illinois (license number 209032944) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174090500.

Contact Information

Genevieve San Nicolas, APRN, AGACNP-BC, DNP
251 E Huron St Ste 5-704,
Chicago, IL 60611-2908
(312) 695-0061
(312) 926-8341

Map and Direction




Provider's Profile

Full NameGenevieve San Nicolas
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location251 E Huron St Ste 5-704, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Genevieve San Nicolas graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1174090500
  • Provider Enumeration Date: 10/24/2018
  • Last Update Date: 12/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375876451
  • Enrollment ID: I20250910001512

Medical Identifiers

Medical identifiers for Genevieve San Nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174090500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209032944 (Illinois)Primary
363LC0200XNurse Practitioner - Critical Care Medicine 9363062 (Florida)Secondary
363LF0000XNurse Practitioner - Family 9363092 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768144386

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. Genevieve San Nicolas allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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. Genevieve San Nicolas 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 AddressPractice Location Address
Genevieve San Nicolas, APRN, AGACNP-BC, DNP
251 E Huron St Ste 5-704,
Chicago, IL 60611-2908

Ph: (312) 695-0061		Genevieve San Nicolas, APRN, AGACNP-BC, DNP
251 E Huron St Ste 5-704,
Chicago, IL 60611-2908

Ph: (312) 695-0061

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.