Individual provider Active NPI

Nicole Lovett, FNP-BC

  • Family Nurse Practitioner
  • Richton Park, IL
National Provider Identifier
1760933311
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014959 Issued in IL
Practice address
4511 Sauk TRL
Richton Park, IL 60471-1167
Phone
(708) 747-6000
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209014959 IL Primary

Addresses

Primary practice location

4511 Sauk TRL
Richton Park, IL 60471-1167

Mailing address

959 Sanctuary Dr
New Lenox, IL 60451-5627
Phone (708) 822-7557

Other names 1

  • Nicole Andracki Former name

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
I20170220001813 IL Practitioner - Nurse Practitioner 6204119167 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

306 N Larkin Ave
Joliet, IL 60435-6698
Phone (815) 744-5560

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Aug 11, 2024 Accepting new patients
Cardiorenal Therapeutics of Illinois PLLC CurrentSince May 4, 2024 Accepting new patients
Applebaum Physiatry PLLC Family CurrentSince Apr 24, 2024 Accepting new patients
Post Acute Specialists, LLC CurrentSince Jan 14, 2026 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

800 W Oakton St
Arlington Hts, IL 60004
Phone (847) 253-3710

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

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

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

1300 Oak Ave
Evanston, IL 60201
Phone (847) 869-1300

940 Maple Rd
Homewood, IL 60430
Phone (708) 799-0244

701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

128 S East St
Unit 1109
Crown Point, IN 46308

9825 S Jordan Gtwy
Sandy, UT 84070

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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1760933311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 SANCTUARY DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604515627",
            "telephone_number": "708-822-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711167",
            "telephone_number": "708-747-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVETT",
        "first_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ANDRACKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richton Park, IL

Sources for this page

Verify at the official NPI Registry.