NICOLE ANN SOLEM (OD) – Optometrist, NPI 1073181574

NICOLE ANN SOLEM (OD) is a healthcare provider. based in Chicago, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011514 (IL). The NPI Number for NICOLE ANN SOLEM (OD) is 1073181574

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ANN SOLEM (OD)
NPI
1073181574
Phone
(312) 787-2020
Address
645 N Michigan Ave Ste 210
Enumeration Date
12 June 2021
Last Update Date
21 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637463391
Graduation Year
2021 (5 years ago)
PAC ID
8921401134
Group Practice PAC ID
5092755215
Professional Enrollment ID
I20231121000406
Address ID
MN554420000PL4455XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for NICOLE ANN SOLEM (OD)

  • 645 N Michigan Ave Ste 210

    Chicago, IL 606112825

    Phone: (312) 787-2020

    Type: Location

  • 141 W Jackson Blvd

    Chicago, IL 606042992

    Phone: (312) 427-9555

    Type: Location

  • PO BOX 604

    BUFFALO, MN 553130604

    Phone: (218) 340-8411

    Type: Mailing

  • 4455 HIGHWAY 169 N

    PLYMOUTH, MN 554422897

    Phone: (763) 559-7358

    Type: Location

  • 5672 WALNUT AVE APT 2C

    DOWNERS GROVE, IL 605161083

    Phone: (218) 340-8411

    Type: Mailing

  • 645 N MICHIGAN AVE STE 210

    CHICAGO, IL 606112825

    Phone: (312) 787-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: CooperVision Inc. ($68).

Total Amount

$158

General + Research + Ownership

Payments

6

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-21

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
I20231121000406IOptometryMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 5092755215View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Does NICOLE ANN SOLEM (OD) have a public NPI I can cite?
Public records show NICOLE ANN SOLEM (OD) under NPI 1073181574.
Quick check: is NICOLE ANN SOLEM (OD) active?
Public NPPES data shows NICOLE ANN SOLEM (OD) with an active NPI status right now.
What services align with NICOLE ANN SOLEM (OD)'s listing?
NICOLE ANN SOLEM (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE ANN SOLEM (OD)?
NICOLE ANN SOLEM (OD) shows a connection to Chicago, Illinois in registry-derived data.
Can I export NICOLE ANN SOLEM (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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