NICOLE Q WILSON (A.P.N,) – Family Nurse Practitioner, NPI 1972056109
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,703 NURSE PRACTITIONER in IL
Provider Addresses for NICOLE Q WILSON (A.P.N,)
2315 E 93rd St Ste 339
Chicago, IL 606173916
Phone: (773) 530-7356
Type: Location
2200 E 93RD ST
CHICAGO, IL 606173905
Phone: (773) 530-7356
Type: Mailing
111 W Jackson Blvd Ste 1700
Chicago, IL 606043597
Phone: (888) 731-8994
Type: Location
South Cottage Grove Avenue, Arcade Row, Pullman, Chicago, Hyde Park Township, Cook County, Illinois, 60628, United States
CHICAGO, IL 606196113
Phone: (773) 651-0200
Fax: (773) 651-8968
Type: Mailing
2315 E 93RD ST STE 339
CHICAGO, IL 606173916
Phone: (773) 530-7356
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $258.
Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Lilly USA, LLC ($183).
Total Amount
$258
General + Research + Ownership
Payments
10
Total payment records
General Amount
$258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $183 |
| SANOFI PASTEUR INC. | $37 |
| GlaxoSmithKline, LLC. | $22 |
| PFIZER INC. | $16 |
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: 2017-10-23
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171023002115 | 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 60617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner, Certified Clinical Nurse Specialist (Cns) | IN | |
| Nurse Practitioner | IL |
Reviews
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