Individual provider Active NPI

Nicole Bindl, NP

  • Family Nurse Practitioner
  • Olympia Fields, IL
National Provider Identifier
1083801153
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008905A Issued in IN
Practice address
3800 W 203Rd St Ste 204
Olympia Fields, IL 60461-1185
Phone
(708) 852-2641
Fax
(708) 503-3260
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008905A IN Primary
Registered Nurse First Assistant 163WR0006X 041320143 IL
Registered Nurse First Assistant 163WR0006X 156646-30 WI
Nurse Practitioner 363L00000X 5991-33 WI
Family Nurse Practitioner 363LF0000X 041320143 IL
Family Nurse Practitioner 363LF0000X 209012225 IL

Addresses

Primary practice location

3800 W 203Rd St Ste 204
Olympia Fields, IL 60461-1185

Mailing address

35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800

Other practice location 1

3500 Franciscan Way Ste 400
Michigan City, IN 46360-0021
Phone (219) 878-8200

Other practice location 2

1969 W Hart Rd
Beloit Memorial Hospital
Beloit, WI 53511-2230
Phone (608) 363-5803

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nbindl533171@Direct.FranciscanAlliance.org Direct
Direct Messaging Address nbindl533171@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, IN, IA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140924000553 WI Practitioner - Nurse Practitioner 5799904736 Reassigns benefits to 1 organization
I20150122000932 IL Practitioner - Nurse Practitioner 5799904736 Reassigns benefits to 1 organization
I20200527002125 IN Practitioner - Nurse Practitioner 5799904736 Reassigns benefits to 1 organization
I20201026002633 IA Practitioner - Nurse Practitioner 5799904736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Health System IncGroup PAC ID 8224947858, shared by 4 NPIs, 138 clinicians

Practice addresses (Care Compare)

1735 Madison Rd
Beloit, WI 53511-3216
Phone (608) 363-7510

1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-2200

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5756

5605 E Rockton Rd
Roscoe, IL 61073-7641
Phone (815) 525-4930

Hospital & facility affiliations

  • Beloit Health System Hospital, Beloit, WI, CCN 520100

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
64.82
Promoting interoperability
100
Improvement activities
40
Cost
71.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041320143ILMDRegistered Nurse First Assistant
156646-30WIMDRegistered Nurse First Assistant
209012225ILMDFamily Nurse Practitioner
71008905AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Clinic, S.C. Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jun 1, 2020 Accepting new patients
Beloit Health System, Inc CurrentSince Sep 15, 2014 Accepting new patients
Beloit Health System Inc CurrentSince Sep 15, 2014 Accepting new patients
Beloit Health System Inc CurrentSince Nov 24, 2014 Accepting new patients
Genesis Health System CurrentSince Sep 15, 2020 Accepting new patients
The Methodist Hospitals, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Genesis Health System CurrentSince Sep 15, 2020 Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

27350 Network Pl
Chicago, IL 60673

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

200 E 89th Ave
Fl 3
Merrillville, IN 46410

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • Direct secure messaging: nbindl533171@direct.franciscanalliance.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1083801153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35318 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781353",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 203RD ST STE 204",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611185",
            "telephone_number": "708-852-2641",
            "fax_number": "708-503-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Franciscan Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463600021",
            "country_code": "US",
            "telephone_number": "219-878-8200",
            "fax_number": "219-878-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1969 W Hart Rd",
            "address_2": "Beloit Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Beloit",
            "state": "WI",
            "postal_code": "535112230",
            "country_code": "US",
            "telephone_number": "608-363-5803",
            "fax_number": "608-364-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINDL",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008905A",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041320143",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WI",
            "license": "156646-30",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5991-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041320143",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbindl533171@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3500 Franciscan Way Ste 400",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463600021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbindl533171@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3800 W 203rd St Ste 204",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.