NICOLE NEGUS (NP) – Nurse Practitioner, NPI 1508671199

NICOLE NEGUS (NP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209.031613 (IL). The NPI Number for NICOLE NEGUS (NP) is 1508671199

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE NEGUS (NP)
NPI
1508671199
Phone
(608) 751-9457
Address
469 W HURON ST APT 1804
Enumeration Date
11 February 2025
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474800004
Graduation Year
2024 (2 years ago)
PAC ID
9436662061
Group Practice PAC ID
6204841760
Professional Enrollment ID
I20250627001518
Address ID
IL600155255DE707XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for NICOLE NEGUS (NP)

  • 469 W HURON ST APT 1804

    CHICAGO, IL 606543470

    Phone: (608) 751-9457

    Type: Mailing

  • 1639 N ALPINE RD FL 3

    ROCKFORD, IL 611071449

    Phone: (815) 229-9333

    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: 2025-06-27

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
I20250627001518INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60654)

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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: 6204841760View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
P A T H O L O G YIN
Physician AssistantIL
P A T H O L O G YOR
P A T H O L O G YIL
Physician AssistantIL
P A T H O L O G YIL
Nurse PractitionerIL
Physician AssistantTN
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

How do I look up NICOLE NEGUS (NP) by NPI?
Use NPI 1508671199 when you need to reference NICOLE NEGUS (NP) in forms, claims, or directories.
Is NICOLE NEGUS (NP)'s NPI currently valid?
The extract we use shows NICOLE NEGUS (NP) as active.
What does NICOLE NEGUS (NP) treat or focus on?
Patients typically see NICOLE NEGUS (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICOLE NEGUS (NP)?
The page summarizes Chicago, Illinois for NICOLE NEGUS (NP); expand the address list for detail.
Is NICOLE NEGUS (NP) a real provider?
This page reflects official NPPES data for NPI 1508671199. Always confirm identity and privileges with the practice and licensing boards.

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