Nicole Hartley, in Des Plaines, IL - Medicare Nurse Practitioner

Nicole Hartley, is a medicare enrolled "Nurse Practitioner" in Des Plaines, Illinois. Her current practice location is 2800 S River Rd, Des Plaines, Illinois. You can reach out to her office (for appointments etc.) via phone at (872) 777-1750.

Nicole Hartley is licensed to practice in Illinois (license number 209.016417) 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 1225543937.

Contact Information

	Nicole Hartley,
	2800 S River Rd, Des Plaines, IL 60018-6001
	(872) 777-1750
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Hartley
Gender	Female
Speciality	Nurse Practitioner
Location	2800 S River Rd, Des Plaines, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225543937
Provider Enumeration Date: 12/05/2017
Last Update Date: 12/16/2025

Medicare PECOS Information:

PECOS PAC ID: 9739449331
Enrollment ID: I20180130001006

Medical Identifiers

Medical identifiers for Nicole Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225543937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.016417 (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. Nicole Hartley allows following entities to bill medicare on her behalf.

Entity Name	Joliet Area Community Hospice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212103 PECOS PAC ID: 6305860123 Enrollment ID: O20060119000748

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. Nicole Hartley 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
Nicole Hartley, 23708 W Cotswald Dr, Plainfield, IL 60585-8590 Ph: (815) 474-7031	Nicole Hartley, 2800 S River Rd, Des Plaines, IL 60018-6001 Ph: (872) 777-1750

Reviews and Comments

Nurse Practitioner Nurses in Des Plaines, IL

Caroline Odior Shodunola, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 595 Anita St # 595a, Des Plaines, IL 60016 Phone: 773-475-1210
Ms. Susan A Mack, APRN-FPA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 Teela Ln, Des Plaines, IL 60016 Phone: 847-692-6000 Fax: 847-692-6112
Nikola Driscoll, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 N Westgate Rd, Des Plaines, IL 60016 Phone: 773-899-0483
Samantha Schafer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Wilson Ln, Des Plaines, IL 60016 Phone: 844-756-8600
Amitaben Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 Phone: 224-803-2273
Sivani Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Danbury Ln, Des Plaines, IL 60018 Phone: 224-595-7813
Mr. Ibrahim Aldasoqi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Potter Rd, Des Plaines, IL 60016 Phone: 773-319-2317

Nicole Hartley, - Medicare Nurse Practitioner in Des Plaines, IL