Kristine Nichols, APN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bensenville, Illinois. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
1127 S York Rd, Elmhurt-edward Walk In Clinic In Jewel, Bensenville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(331) 221-2830.
Kristine Nichols is licensed to practice in Illinois (license number 209009118) 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 1356614796.
Provider's Profile
| Full Name | Kristine Nichols |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 1127 S York Rd, Bensenville, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristine Nichols graduated from nursing school in 2009
NPI Data:
- NPI Number: 1356614796
- Provider Enumeration Date: 02/15/2012
- Last Update Date: 05/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810157781
- Enrollment ID: I20120330000054
Medical Identifiers
Medical identifiers for Kristine Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356614796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209009118 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 3022 |
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. Kristine Nichols allows following entities to bill medicare on her behalf.
| Entity Name | Edward Health Ventures |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616 |
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| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Kristine Nichols 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 |
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Kristine Nichols, APN, FNP-C
1127 S York Rd, Elmhurt-edward Walk In Clinic In Jewel,
Bensenville, IL 60106-3342
Ph: (331) 221-2830 | Kristine Nichols, APN, FNP-C
1127 S York Rd, Elmhurt-edward Walk In Clinic In Jewel,
Bensenville, IL 60106-3342
Ph: (331) 221-2830 |
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