MRS. NICOLE OLUWABUNMI MACAULAY (M.D) – Obstetrics & Gynecology Physician, NPI 1073799235

MRS. NICOLE OLUWABUNMI MACAULAY (M.D) is a healthcare provider. based in Rockford, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D. They hold a License No. 000841 (GA). The NPI Number for MRS. NICOLE OLUWABUNMI MACAULAY (M.D) is 1073799235

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE OLUWABUNMI MACAULAY (M.D)
NPI
1073799235
Phone
(815) 971-2000
Address
5970 CHURCHVIEW DRIVE
Enumeration Date
17 January 2008
Last Update Date
6 March 2013

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8159712000
Graduation Year
2004 (22 years ago)
PAC ID
1759455991
Group Practice PAC ID
2567374036
Professional Enrollment ID
I20080805000905
Address ID
IL611072574RO5970XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for MRS. NICOLE OLUWABUNMI MACAULAY (M.D)

  • 5970, Churchview Drive, Rockford, Winnebago County, Illinois, 61107, United States

    ROCKFORD, IL 61107

    Phone: (815) 971-2000

    Fax: (815) 395-2021

    Mailing address matches the actual address.

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: 2008-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20080805000905IObstetrics/GynecologyIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1111$0
View full utilization report →

Insurance plans in this area (ZIP 61107)

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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: 2567374036View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. NICOLE OLUWABUNMI MACAULAY (M.D)?
NPI 1073799235 is assigned to MRS. NICOLE OLUWABUNMI MACAULAY (M.D) under the national enumeration system.
Is MRS. NICOLE OLUWABUNMI MACAULAY (M.D) currently active in the NPI registry?
CMS-published data lists MRS. NICOLE OLUWABUNMI MACAULAY (M.D) as an active registrant.
Does MRS. NICOLE OLUWABUNMI MACAULAY (M.D) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for MRS. NICOLE OLUWABUNMI MACAULAY (M.D). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. NICOLE OLUWABUNMI MACAULAY (M.D)?
The page summarizes Rockford, Illinois for MRS. NICOLE OLUWABUNMI MACAULAY (M.D); expand the address list for detail.
Is MRS. NICOLE OLUWABUNMI MACAULAY (M.D) a real provider?
This page reflects official NPPES data for NPI 1073799235. Always confirm identity and privileges with the practice and licensing boards.

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