Nicole Hendrickson, FPA FNP-BC - Medicare Nurse Practitioner in Spring Grove, IL

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Nicole Hendrickson, FPA FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Spring Grove, Illinois. Her current practice location is 2440 Highview St, Spring Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 900-7330.

Nicole Hendrickson is licensed to practice in Illinois (license number 277.001900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881242725.

Contact Information

Nicole Hendrickson, FPA FNP-BC
2440 Highview St,
Spring Grove, IL 60081-9609
(815) 900-7330
(928) 268-0163

Map and Direction




Physician's Profile

Full NameNicole Hendrickson
GenderFemale
SpecialityNurse Practitioner - Family
Location2440 Highview St, Spring Grove, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881242725
  • Provider Enumeration Date: 09/03/2019
  • Last Update Date: 05/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739411406
  • Enrollment ID: I20191029003523

Medical Identifiers

Medical identifiers for Nicole Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881242725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 377.001830 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209020152 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277.001900 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Hendrickson allows following entities to bill medicare on her behalf.
Entity NameCounty Of Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164446712
PECOS PAC ID: 7214838861
Enrollment ID: O20040116000192
Entity NameModern Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275231276
PECOS PAC ID: 3072971795
Enrollment ID: O20230627003213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Hendrickson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Hendrickson, FPA FNP-BC
2440 Highview St,
Spring Grove, IL 60081-9609

Ph: (815) 900-7330		Nicole Hendrickson, FPA FNP-BC
2440 Highview St,
Spring Grove, IL 60081-9609

Ph: (815) 900-7330

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.