Individual provider Active NPI

Nisha Sam George, APN-CNP

  • Nurse Practitioner
  • Buffalo Grove, IL
National Provider Identifier
1750723532
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003556 Issued in IL
Practice address
15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone
(847) 618-0351
Fax
(847) 618-0766
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 209.010498 IL
Nurse Practitioner 363L00000X 277003556 IL Primary

Addresses

Primary practice location

15 S McHenry Rd
Buffalo Grove, IL 60089-6705

Mailing address

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 618-0351

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngeorge20901@direct.nch.org

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
I20131226001531 IL Practitioner - Nurse Practitioner 8820225691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1450 Busch Pkwy
Buffalo Grove, IL 60089-4541
Phone (847) 725-8640

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 520-9424

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277003556ILMDNurse Practitioner
209.010498ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc CurrentSince Mar 1, 2015 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Northwest Community Health Services Inc Nurse Practitioner CurrentSince Mar 1, 2015 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 12, 2023 Accepting new patients
Northwest Community Healthcare PastSince Mar 1, 2020 Accepting new patients

Locations

1051 W Rand Rd
Ste 110
Arlington Heights, IL 60004
Phone (847) 618-9292

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

15 S McHenry Rd
Fl 2
Buffalo Grove, IL 60089
Phone (847) 439-8780

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

1450 Busch Pkwy
Ste 100
Buffalo Grove, IL 60089
Phone (847) 459-7860

15 S McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-6100

25233 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

21481 N Rand Rd
Kildeer, IL 60047
Phone (847) 618-9696

Interoperability endpoints

  • Direct secure messaging: ngeorge20901@direct.nch.org
  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4

Organizations & group practices 5

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 2

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1750723532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896705",
            "telephone_number": "847-618-0351",
            "fax_number": "847-618-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896705",
            "telephone_number": "847-618-0351",
            "fax_number": "847-618-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "NISHA",
        "middle_name": "SAM",
        "name_prefix": "Mrs.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.010498",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngeorge20901@direct.nch.org",
            "affiliation": "N",
            "address_1": "1450 Busch Pkwy Ste 100",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600894541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.