Individual provider Active NPI

Nicole Marie Geissen, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chicago, IL
National Provider Identifier
1841422482
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036132599 Issued in IL
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

Updated by the provider on May 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036132599OtherILSTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161205001868 IL Practitioner - Thoracic SurgeryPractitioner - General Surgery 1254641244 Reassigns benefits to 4 organizations
I20220124000826 IN Practitioner - Thoracic Surgery 1254641244 Reassigns benefits to 2 organizations

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
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Cook CountyGroup PAC ID 2860398088, 770 clinicians

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 Hospital, Chicago, IL, CCN 140119
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036132599ILMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Surgery CurrentSince Dec 4, 2018 Accepting new patients
Northwest Community Health Services Inc CurrentSince Dec 4, 2018 Accepting new patients
Rush University Medical Group Surgery CurrentSince Oct 1, 2020 Accepting new patients
Copley Memorial Hospital, Inc. CurrentSince May 1, 2024 Accepting new patients
Cook County Surgery CurrentSince Oct 30, 2016 Accepting new patients
Rush University Medical Center Surgery CurrentSince Oct 1, 2020 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Oct 30, 2016 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

  • Direct secure messaging: ngeissen604715@direct.franciscanalliance.org
  • Direct secure messaging: ngeissen@direct.ccprovider.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

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

Verify at the official NPI Registry.