NICOLE HARTLEY – Nurse Practitioner, NPI 1225543937

NICOLE HARTLEY is a healthcare provider. based in Plainfield, Illinois. specializing in Nurse Practitioner. They hold a License No. 209.016417 (IL). The NPI Number for NICOLE HARTLEY is 1225543937

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE HARTLEY
NPI
1225543937
Phone
(815) 474-7031
Address
23708 W COTSWALD DR
Enumeration Date
5 December 2017
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157404104
Graduation Year
2017 (9 years ago)
PAC ID
9739449331
Group Practice PAC ID
6305860123
Professional Enrollment ID
I20180130001006
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for NICOLE HARTLEY

  • 23708 W COTSWALD DR

    PLAINFIELD, IL 605858590

    Phone: (815) 474-7031

    Type: Mailing

  • 2800 S RIVER RD

    DES PLAINES, IL 600186001

    Phone: (872) 777-1750

    Type: Location

  • Clover Lane, South Plainfield, Middlesex County, New Jersey, 08854-5309, United States

    PLAINFIELD, IL 605868662

    Phone: (815) 474-7031

    Type: Mailing

  • 12040, Raymond Court, Huntley, McHenry County, Illinois, 60142, United States

    HUNTLEY, IL 601428069

    Phone: (815) 347-0585

    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: 2018-01-30

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
I20180130001006INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes21544$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days10816$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes5050$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2511$0
99453Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment1111$0
View full utilization report →

Insurance plans in this area (ZIP 60585)

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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: 6305860123View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE HARTLEY?
NICOLE HARTLEY — NPI 1225543937 — is the standard way to identify this listing.
Does CMS list NICOLE HARTLEY as active?
Yes — NICOLE HARTLEY is active in the NPI listing used on this page.
What healthcare role does NICOLE HARTLEY hold?
Scheduling teams often label NICOLE HARTLEY under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does NICOLE HARTLEY serve?
NICOLE HARTLEY's listing highlights Plainfield, Illinois; more addresses can appear in NPPES.
Is the information about NICOLE HARTLEY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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