Jennifer A Nichols, ACNPC-AG - Medicare Nurse Practitioner in Glendale Heights, IL

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Jennifer A Nichols, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Glendale Heights, Illinois. Her current practice location is 701 Winthrop Ave, Glendale Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 545-8000.

Jennifer A Nichols is licensed to practice in Illinois (license number 209022126) 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 1336745785.

Contact Information

Jennifer A Nichols, ACNPC-AG
701 Winthrop Ave,
Glendale Heights, IL 60139-1405
(630) 545-8000
Not Available

Map and Direction




Provider's Profile

Full NameJennifer A Nichols
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location701 Winthrop Ave, Glendale Heights, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336745785
  • Provider Enumeration Date: 12/10/2020
  • Last Update Date: 03/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416356126
  • Enrollment ID: I20210601000692

Medical Identifiers

Medical identifiers for Jennifer A Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336745785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209022126 (Illinois)Secondary
363LA2100XNurse Practitioner - Acute Care 209022126 (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. Jennifer A Nichols allows following entities to bill medicare on her behalf.
Entity NameZafer Jawich Md Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497842884
PECOS PAC ID: 9537149224
Enrollment ID: O20040722001214
Entity NamePmg For Skilled Nursing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861078776
PECOS PAC ID: 6103235882
Enrollment ID: O20210510001560

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. Jennifer A Nichols 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
Jennifer A Nichols, ACNPC-AG
5143 Grand Ave,
Downers Grove, IL 60515-5120

Ph: (630) 742-9419		Jennifer A Nichols, ACNPC-AG
701 Winthrop Ave,
Glendale Heights, IL 60139-1405

Ph: (630) 545-8000

Reviews and Comments


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Practice Location: 701 Winthrop Ave, Ambulatory Care, Glendale Heights, IL 60139
Phone: 630-545-4935    Fax: 630-592-2239

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.