MS. DELICIA HOLMES – Nurse Practitioner, NPI 1063252583

MS. DELICIA HOLMES is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041.420596 (IL). The NPI Number for MS. DELICIA HOLMES is 1063252583

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. DELICIA HOLMES
NPI
1063252583
Phone
(224) 318-9647
Address
9808 S NORMAL AVE
Enumeration Date
31 May 2024
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305815372
Graduation Year
2022 (4 years ago)
PAC ID
7416498167
Group Practice PAC ID
0547495467
Professional Enrollment ID
I20240920002016
Address ID
IL605272325WI40XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. DELICIA HOLMES

  • 9808 S NORMAL AVE

    CHICAGO, IL 606281213

    Phone: (224) 318-9647

    Type: Mailing

  • 1580 N NORTHWEST HWY STE 121A

    PARK RIDGE, IL 600681462

    Phone: (847) 813-5779

    Fax: (847) 813-5216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240920002016INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60628)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547495467View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerTX
Family PracticeIL
Hospitalist, Family PracticeIL
Nurse PractitionerIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

What is the registry number for MS. DELICIA HOLMES?
The registry entry for MS. DELICIA HOLMES shows NPI 1063252583.
Does the public listing show MS. DELICIA HOLMES as active?
MS. DELICIA HOLMES's NPI record reflects an active status in NPPES.
Which specialty label fits MS. DELICIA HOLMES?
NPPES ties MS. DELICIA HOLMES to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. DELICIA HOLMES?
MS. DELICIA HOLMES shows a connection to Chicago, Illinois in registry-derived data.
Can I export MS. DELICIA HOLMES's record?
You can download the official NPPES record; we summarize key fields for readability.

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