Active NPI
Nicole Marie Geissen, D.O.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036132599
- Practice address
- 1901 W Harrison St Ste 3350
Chicago, IL 60612 - Phone
- (312) 864-6000
- NPI assigned
- Aug 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036132599 | IL | |
| Surgical Oncology Physician | 2086X0206X | 036132599 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036132599 | IL | Primary |
Addresses
Primary practice location
1901 W Harrison St Ste 3350
Chicago, IL 60612
Mailing address
1901 W Harrison St Ste 3350
Chicago, IL 60612-3714
Phone (312) 864-6000
Other practice location 1
880 W Central Rd Ste 5000
Arlington Heights, IL 60005-2355
Phone (847) 618-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036132599 | Other | IL | STATE LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ngeissen@direct.ccprovider.org | Direct | Cook County |
| Direct Messaging Address | ngeissen117189@direct.nch.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Main St
Rush University Medical Center
Crown Point, IN 46307-8481
Phone (312) 942-6800
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904
1620 W Harrison St
Chicago, IL 60612-3801
1653 W Congress Pkwy
Chicago, IL 60612-3833
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
1725 W Harrison St
Chicago, IL 60612-3848
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800
500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000
9200 Calumet Ave
Suite E107
Munster, IN 46321-2885
Phone (219) 806-6585
Hospital & facility affiliations
- Rush University Medical Center
- Franciscan Health Dyer
- John H Stroger Jr Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036132599 | IL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Health Services Inc | Surgery | Current | Accepting new patients |
| Northwest Community Health Services Inc | Current | Accepting new patients | |
| Rush University Medical Group | Surgery | Current | Accepting new patients |
| Copley Memorial Hospital, Inc. | Current | Accepting new patients | |
| Cook County | Surgery | Current | Accepting new patients |
| Rush University Medical Center | Surgery | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients |
Locations
880 W Central Rd
Ste 5000
Arlington Heights, IL 60005
Phone (847) 618-3800
1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
1901 W Harrison St
Ste 3350
Chicago, IL 60612
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904
25233 Network Pl
Chicago, IL 60673
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1725 W Harrison St
Ste 774
Chicago, IL 60612
Phone (312) 738-3732
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
430 Warrenville Rd
Ste 300
Lisle, IL 60532
Phone (630) 364-7850
430 Warrenville Rd
Ste 2
Lisle, IL 60532
Phone (630) 724-8700
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
701 Superior Ave
Ste O
Munster, IN 46321
Phone (219) 864-7782
9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585
Interoperability endpoints
- ngeissen604715@direct.franciscanalliance.org
- ngeissen@direct.ccprovider.org
- ngeissen59056@direct.rush.rush-health.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Endocrinology, Diabetes & Metabolism Physician
- Aurora, IL
- NPI 1619466034
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1134433154
Surgery
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Obstetrics Physician
- Arlington Heights, IL
- NPI 1467057513
Hospital & facility affiliations 30
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": "1250380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1841422482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST STE 3350",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123714",
"telephone_number": "312-864-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST STE 3350",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-864-6000"
}
],
"practiceLocations": [
{
"address_1": "880 W Central Rd Ste 5000",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600052355",
"country_code": "US",
"telephone_number": "847-618-3800",
"fax_number": "847-618-3809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEISSEN",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-16",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036132599",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "IL",
"license": "036132599",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036132599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036132599",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngeissen@direct.ccprovider.org",
"affiliation": "Y",
"affiliationName": "Cook County",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1969 W. Ogden Ave.",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606123723",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngeissen117189@direct.nch.org",
"affiliation": "N",
"address_1": "880 W Central Rd Ste 5000",
"city": "Arlington Heights",
"state": "IL",
"country_code": "US",
"postal_code": "600052355",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.