NICOLE MCDERMOTT (RN) – Registered Nurse, NPI 1073894481

NICOLE MCDERMOTT (RN) is a healthcare provider. based in Chicago, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 041332482 (IL). The NPI Number for NICOLE MCDERMOTT (RN) is 1073894481

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MCDERMOTT (RN)
NPI
1073894481
Phone
Not provided
Address
5858 S SAYRE AVE
Enumeration Date
30 August 2011
Last Update Date
30 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157401100
Graduation Year
2013 (13 years ago)
PAC ID
6507160934
Group Practice PAC ID
0042118069
Professional Enrollment ID
I20160205000488
Address ID
IL604321439JO1200XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for NICOLE MCDERMOTT (RN)

  • 5858 S SAYRE AVE

    CHICAGO, IL 606383125

    Phone:

    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: 2016-02-05

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
I20160205000488ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope7372$0
00813Anesthesia for procedure on small and large bowel using an endoscope5252$0
00812Anesthesia for exam of colon using an endoscope3535$0
00811Anesthesia for other procedure on large bowel using an endoscope3232$0
00790Anesthesia for other procedure on upper abdomen1515$0
View full utilization report →

Insurance plans in this area (ZIP 60638)

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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: 0042118069View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Can I verify NICOLE MCDERMOTT (RN) with an NPI only?
You can start verification with NPI 1073894481 for NICOLE MCDERMOTT (RN), then check state licensing separately.
Does the file indicate NICOLE MCDERMOTT (RN) is practicing under active NPI?
Directory data currently reports NICOLE MCDERMOTT (RN) as active.
What is NICOLE MCDERMOTT (RN)'s specialty?
The listing groups NICOLE MCDERMOTT (RN) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Where should I expect NICOLE MCDERMOTT (RN) on a map?
Expect Chicago, Illinois as a primary anchor for NICOLE MCDERMOTT (RN) unless the record lists multiple sites.
Is the information about NICOLE MCDERMOTT (RN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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