DR. NICOLE ELOISE MOURILLON (M.D.) – Emergency Medicine Physician, NPI 1669456018
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for DR. NICOLE ELOISE MOURILLON (M.D.)
6923, South Cregier Avenue, Jackson Park Highlands District, South Shore, Chicago, Hyde Park Township, Cook County, Illinois, 60649, United States
CHICAGO, IL 606491407
Phone: (773) 363-6607
Fax: (773) 363-6607
Type: Mailing
2320 E 93rd St
Chicago, IL 606173909
Phone: (773) 967-5430
Fax: (773) 967-4205
Type: Location
Community Hospital, 901, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
MUNSTER, IN 463212901
Phone: (219) 836-4511
Fax: (219) 836-7048
Type: Location
200 CORPORATE BLVD
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2026-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040302001338 | I | Emergency Medicine | IL | TBD |
| I20070727000406 | I | Emergency Medicine | IN | TBD |
| I20260209001299 | I | Emergency Medicine | KY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 85 | 84 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 68 | 68 | $0 |
| 99291 | Critical care, first 30-74 minutes | 24 | 24 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 14 | $0 |
Insurance plans in this area (ZIP 60649)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.