Individual provider Active NPI

Nicole Louise Cartier, AGPCNP-BC, LCPC

  • Adult Health Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1609926088
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209026246 Issued in IL
Practice address
1580 Butterfield TRL
Kankakee, IL 60901-2933
Phone
(815) 932-0312
NPI assigned
Jan 10, 2007
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11021349 FL
Adult Health Nurse Practitioner 363LA2200X 209026246 IL Primary
Professional Counselor 101YP2500X 180-005510 IL

Addresses

Primary practice location

1580 Butterfield TRL
Kankakee, IL 60901-2933

Mailing address

263 Highpoint Cir N
Bourbonnais, IL 60914-9122
Phone (815) 474-4918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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
I20221128000955 IL Practitioner - Nurse Practitioner 5092183988 Reassigns benefits to 6 organizations
I20230330001896 FL Practitioner - Nurse Practitioner 5092183988

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

650 N Kinzie Ave
Bradley, IL 60915-1227
Phone (815) 933-1666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180-005510ILMDProfessional Counselor
11021349FLMDAdult Health Nurse Practitioner
209026246ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Wound Care Midwest LLC CurrentSince Jan 1, 2024 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Aug 12, 2022 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Jan 6, 2024 Accepting new patients
Applebaum Physiatry PLLC CurrentSince May 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403

5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1101 E State St
Geneva, IL 60134
Phone (630) 232-7544

900 W River Pl
Kankakee, IL 60901
Phone (815) 933-1711

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

128 S East St
Unit 1109
Crown Point, IN 46308

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1609926088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HIGHPOINT CIR N",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149122",
            "telephone_number": "815-474-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BUTTERFIELD TRL",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012933",
            "telephone_number": "815-932-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTIER",
        "first_name": "NICOLE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11021349",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209026246",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.