NICHELLE M BUSH (APRN FNP CEN) – Nurse Practitioner, NPI 1447647110
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for NICHELLE M BUSH (APRN FNP CEN)
12251 S 80TH AVE
PALOS HEIGHTS, IL 604631290
Phone: (708) 923-5800
Fax: (708) 923-8324
Type: Mailing
19621 OAKWOOD AVE
LYNWOOD, IL 604116334
Phone:
Type: Mailing
12935 GREGORY ST
BLUE ISLAND, IL 604062428
Phone: (708) 597-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $2,654.
Total Amount is formed as General ($2,654) + Research ($0) + Ownership ($0) = $2,654.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($358).
Total Amount
$2,654
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,654
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $358 |
| Regeneron Healthcare Solutions, Inc. | $343 |
| Novo Nordisk Inc | $209 |
| Kyowa Kirin, Inc. | $186 |
| Amgen Inc. | $143 |
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: 2015-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150518000580 | I | Nurse Practitioner | IN | TBD |
| I20150911001296 | I | Nurse Practitioner | IL | TBD |
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.
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 60463)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | NY | |
| Nurse Practitioner | IL | |
| - | IL | |
| Emergency Medicine, Family Practice | IL | |
| Emergency Medicine | NY | |
| Emergency Medicine | MI | |
| - | IL |
Reviews
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