Mrs Ashley Nicole Divine, APRN - Medicare Nurse Practitioner in Dekalb, IL

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Mrs Ashley Nicole Divine, APRN is a medicare enrolled "Nurse Practitioner" in Dekalb, Illinois. Her current practice location is 1 Kish Hospital Dr, Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 766-7334.

Mrs Ashley Nicole Divine is licensed to practice in Illinois (license number 209025054) 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 1861148603.

Contact Information

Mrs Ashley Nicole Divine, APRN
1 Kish Hospital Dr,
Dekalb, IL 60115-9602
(815) 766-7334
(815) 766-9768

Map and Direction




Provider's Profile

Full NameMrs Ashley Nicole Divine
GenderFemale
SpecialityNurse Practitioner
Location1 Kish Hospital Dr, Dekalb, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861148603
  • Provider Enumeration Date: 03/01/2022
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830586031
  • Enrollment ID: I20220418001112

Medical Identifiers

Medical identifiers for Mrs Ashley Nicole Divine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861148603NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041392233 (Illinois)Secondary
363L00000XNurse Practitioner 209025054 (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. Mrs Ashley Nicole Divine allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameSycamore Integrated Health Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942547229
PECOS PAC ID: 3678711538
Enrollment ID: O20130604000913

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. Mrs Ashley Nicole Divine 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
Mrs Ashley Nicole Divine, APRN
1 Kish Hospital Dr,
Dekalb, IL 60115-9602

Ph: (815) 766-7334		Mrs Ashley Nicole Divine, APRN
1 Kish Hospital Dr,
Dekalb, IL 60115-9602

Ph: (815) 766-7334

Reviews and Comments


Nurse Practitioner Nurses in Dekalb, IL

Hillary J Taylor,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115
Phone: 815-501-1142    
Kris Mc Clure, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 518 Lucinda Ave, University Health Services, Niu, Dekalb, IL 60115
Phone: 815-753-1311    Fax: 815-753-9599
Cassandra Katzenberger, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115
Phone: 815-748-2972    Fax: 815-748-2978
Laurie A Knoke, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 Cari Ct, Dekalb, IL 60115
Phone: 815-758-2976    
Lisa Roxworthy, APRN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115
Phone: 815-766-7334    Fax: 815-766-9768
Alysia A Moret-schmerbach, APRN, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 Health Services Dr, Dekalb, IL 60115
Phone: 815-756-5255    
Elizabeth Ann Kuhn, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115
Phone: 630-936-4029    Fax: 630-936-4032

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.