Individual provider Active NPI

Nicole L Francen Schmitt, PSY.D.

  • Clinical Psychologist
  • Elgin, IL
National Provider Identifier
1083034698
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009881 Issued in IL
Practice address
1140 N McLean Blvd Ste I
Elgin, IL 60123-1782
Phone
(847) 695-3680
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 071009881 IL Primary

Addresses

Primary practice location

1140 N McLean Blvd Ste I
Elgin, IL 60123-1782

Mailing address

504 N Lyle Ave
Elgin, IL 60123-2606
Phone (815) 575-6084

Other practice location 1

504 N Lyle Ave
Elgin, IL 60123-2606
Phone (815) 575-6084

Other practice location 2

1950 S Sunwest Ln
San Bernardino, CA 92408-3258
Phone (909) 252-4010

Other practice location 3

650 Dakota St Ste A
Crystal Lake, IL 60012-3744
Phone (815) 334-5018

Other identifiers 1

IdentifierTypeStateIssuer
1558539718MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200323000200 IL Practitioner - Clinical Psychologist 8628406899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

650 Dakota St
Crystal Lake, IL 60012-3744
Phone (815) 338-6600

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009881ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince May 6, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince May 6, 2020 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

650 Dakota St
Crystal Lake, IL 60012
Phone (815) 455-6000

650 Dakota St
Ste A
Crystal Lake, IL 60012
Phone (815) 334-5018

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1083034698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N LYLE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232606",
            "telephone_number": "815-575-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD STE I",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "847-695-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 N Lyle Ave",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601232606",
            "country_code": "US",
            "telephone_number": "815-575-6084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Sunwest Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083258",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Dakota St Ste A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600123744",
            "country_code": "US",
            "telephone_number": "815-334-5018",
            "fax_number": "815-356-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCEN SCHMITT",
        "first_name": "NICOLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558539718",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.