NICOLE M. COLUCCI (D.O.) – Emergency Medicine Physician, NPI 1295735017

NICOLE M. COLUCCI (D.O.) is a healthcare provider. based in Lombard, Illinois. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 036102891 (IL). The NPI Number for NICOLE M. COLUCCI (D.O.) is 1295735017

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M. COLUCCI (D.O.)
NPI
1295735017
Phone
(630) 874-2542
Address
520 E 22ND ST
Enumeration Date
22 July 2005
Last Update Date
28 July 2009

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7737748000
Graduation Year
1996 (30 years ago)
PAC ID
2466431424
Group Practice PAC ID
3274793633
Professional Enrollment ID
I20040714001397
Address ID
IL606313707CH7435XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for NICOLE M. COLUCCI (D.O.)

  • 520, East 22nd Street, Highland Hills, Lombard, DuPage County, Illinois, 60148, United States

    LOMBARD, IL 601486110

    Phone: (630) 874-2542

    Fax: (630) 874-2642

    Type: Mailing

  • Community First Medical Center, 5645, West Addison Street, Martin Luther, Portage Park, Chicago, Jefferson Township, Cook County, Illinois, 60634, United States

    OUR LADY OF THE RESURRECTION HOSPITAL

    CHICAGO, IL 606344403

    Phone: (773) 282-7000

    Fax: (773) 794-7664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Inari Medical, Inc. ($54).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$54
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: 2004-07-14

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
I20040714001397IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making231226$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only129124$0
99284Emergency department visit with moderate level of medical decision making7169$0
99291Critical care, first 30-74 minutes6666$0
View full utilization report →

Insurance plans in this area (ZIP 60148)

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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: 3274793633View full group profile
NameSpecialtyState
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineMI
Nurse PractitionerIL
-IL
Emergency MedicineWI
Emergency MedicinePA
Emergency MedicineCA
Emergency MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up NICOLE M. COLUCCI (D.O.) by NPI?
Use NPI 1295735017 when you need to reference NICOLE M. COLUCCI (D.O.) in forms, claims, or directories.
Is NICOLE M. COLUCCI (D.O.) active in the national directory?
NICOLE M. COLUCCI (D.O.)'s public NPI profile is in an active state.
What field does NICOLE M. COLUCCI (D.O.) work in?
You can think of NICOLE M. COLUCCI (D.O.) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does NICOLE M. COLUCCI (D.O.) practice in Illinois?
You will see Lombard, Illinois on file for NICOLE M. COLUCCI (D.O.) alongside any extra practice locations.
Is NICOLE M. COLUCCI (D.O.) a real provider?
This page reflects official NPPES data for NPI 1295735017. Always confirm identity and privileges with the practice and licensing boards.

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