NICOLE PATTERSON – Marriage & Family Therapist, NPI 1265203350

NICOLE PATTERSON is a healthcare provider. based in Sycamore, Illinois. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 166.001696 (IL). The NPI Number for NICOLE PATTERSON is 1265203350

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE PATTERSON
NPI
1265203350
Phone
(779) 777-7335
Address
1625 Bethany Rd
Enumeration Date
9 January 2024
Last Update Date
9 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477784533
Graduation Year
2020 (6 years ago)
PAC ID
9133565591
Group Practice PAC ID
1557557725
Professional Enrollment ID
I20240308000388
Address ID
IL600681471PA1440XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

112 MARRIAGE AND FAMILY THERAPIST in IL

Provider Addresses for NICOLE PATTERSON

  • 1625 Bethany Rd

    Sycamore, IL 601783124

    Phone: (779) 777-7335

    Type: Location

  • 2726 N Buffalo Grove Rd Apt 205

    Arlington Heights, IL 600047304

    Phone: (779) 777-7335

    Type: Location

  • PO BOX 276

    SYCAMORE, IL 601780276

    Phone: (779) 777-7335

    Fax: (815) 758-8441

    Type: Mailing

  • 2100 HUNTINGTON DR N STE B

    ALGONQUIN, IL 601025940

    Phone: (777) 779-7335

    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: 2024-03-08

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
I20240308000388IMarriage And Family TherapistILTBD

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 60178)

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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: 1557557725View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical PsychologistIL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does NICOLE PATTERSON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE PATTERSON uses 1265203350.
Is NICOLE PATTERSON still practicing?
NICOLE PATTERSON is currently listed as active in the public NPI registry.
What is NICOLE PATTERSON best known for clinically?
Directory data describes NICOLE PATTERSON with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is NICOLE PATTERSON based?
NICOLE PATTERSON is tied to Sycamore, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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