Individual provider Active NPI

Nicole Manuel, APN

  • Adult Health Clinical Nurse Specialist
  • Crystal Lake, IL
National Provider Identifier
1396250320
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
209.006547 Issued in IL
Practice address
284 Memorial CT Ste B
Crystal Lake, IL 60014-6231
Phone
(815) 477-8900
Fax
(815) 477-7160
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 209.006547 IL Primary
Nurse Practitioner 363L00000X 209.006547 IL

Addresses

Primary practice location

284 Memorial CT Ste B
Crystal Lake, IL 60014-6231

Mailing address

600 Hart Rd Ste 100
Barrington, IL 60010-2662
Phone (815) 477-8900

Other practice location 1

600 Hart Rd Ste 100
Barrington, IL 60010-2662
Phone (815) 477-8900

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808000297 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 2860729274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.006547ILMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Care S.C. CurrentSince May 20, 2024 Accepting new patients

Locations

600 Hart Rd
Ste 100
Barrington, IL 60010
Phone (815) 477-8900

284 Memorial Ct
Ste B
Crystal Lake, IL 60014
Phone (815) 459-8240

360 Station Dr
Ste 120
Crystal Lake, IL 60014
Phone (815) 477-8900

800 Biesterfield Rd
Ste G01
Elk Grove Vlg, IL 60007

Organizations & group practices 1

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1396250320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HART RD STE 100",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102662",
            "telephone_number": "815-477-8900",
            "fax_number": "815-477-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MEMORIAL CT STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146231",
            "telephone_number": "815-477-8900",
            "fax_number": "815-477-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Hart Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600102662",
            "country_code": "US",
            "telephone_number": "815-477-8900",
            "fax_number": "815-670-0049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "NICOLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209.006547",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.006547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.