Individual provider Active NPI

Nicole Alexander

  • Nurse Practitioner
  • Calumet City, IL
National Provider Identifier
1588916555
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277-000781 Issued in IL
Practice address
522 Torrence Ave
Calumet City, IL 60409-3216
Phone
(800) 323-8622
Fax
(224) 225-0388
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277-000781 IL
Nurse Practitioner 363L00000X 277-000781 IL Primary

Addresses

Primary practice location

522 Torrence Ave
Calumet City, IL 60409-3216

Mailing address

522 Torrence Ave
Calumet City, IL 60409-3216
Phone (800) 323-8622

Other identifiers 1

IdentifierTypeStateIssuer
100286410MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nalexander205417@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130708000611 IL Practitioner - Nurse Practitioner 5193965580 Reassigns benefits to 3 organizations
I20240826001349 WI Practitioner - Nurse Practitioner 5193965580

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1111 E 87TH St
Suite 500
Chicago, IL 60619-7038
Phone (773) 967-4840

12340 S Harlem Ave
Palos Heights, IL 60463-1425
Phone (773) 684-7000

18210 S Lagrange Rd
200 Advocate Med Group
Tinley Park, IL 60487-7725
Phone (708) 479-6636

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3815 Highland Ave
Downers Grove, IL 60515-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277-000781ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Aug 28, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients
Asad Zaman MD SC CurrentSince Feb 16, 2015 Accepting new patients

Locations

3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

522 Torrence Ave
Calumet City, IL 60409
Phone (708) 868-5669

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

11 E 75th St
Chicago, IL 60619
Phone (773) 224-1211

29373 Network Pl
Chicago, IL 60673

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

6700 167th St
Ste 5
Tinley Park, IL 60477
Phone (708) 429-3700

Interoperability endpoints

  • Direct secure messaging: nalexander205417@direct.myadvocateaurora.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1588916555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093216",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093216",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277-000781",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277-000781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100286410",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nalexander205417@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "522 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604093216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "522 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604093216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.