Nicole Q Wilson, A.P.N,

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277.000623 Issued in IL

Practice address

2200 E 93Rd St
Chicago, IL 60617-3905

Phone

(773) 530-7356

NPI assigned

Jul 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anointed Health Partners LimitedGroup PAC ID 1759340292, 2 clinicians

CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Lifeline Physicians LLCGroup PAC ID 4082083811, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIJECA
• Direct secure messaging: nicole.wilson.p1@direct.alegiscare.nextgenshare.com
• Direct secure messaging: nicole.wilson.p2@direct.alegiscare.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IIJECA/Endpoint/IIJECA

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.

• Anointed Health Partners Limited

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1912074873
  Medicare reassignment Care Compare group NPD
• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  Medicare reassignment Care Compare group NPD
• Lifeline Physicians LLC

  • Internal Medicine Physician
  • Lake Forest, IL
  • NPI 1841907839
  Medicare reassignment Care Compare group NPD
• Cardiorenal Therapeutics of Illinois PLLC

  • Nephrology Physician
  • Oakbrook Terrace, IL
  • NPI 1336752682
  Medicare reassignment NPD
• Transitions Home Medical Group PLLC

  • Nurse Practitioner
  • Elk Grove Village, IL
  • NPI 1871890657
  Medicare reassignment NPD

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1972056109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173905",
            "telephone_number": "773-530-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173905",
            "telephone_number": "773-530-7356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Jackson Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043597",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 E 93rd St Ste 339",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173916",
            "country_code": "US",
            "telephone_number": "773-530-7356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21660 W Field Pkwy",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "IL",
            "postal_code": "600107265",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NICOLE",
        "middle_name": "Q",
        "credential": "A.P.N,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11049419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "AP70151971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "276326",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "117277-21",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000623",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "24879388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael N Wilson
• Michelle Marie Wilson, OTR/L
• Nakii Valeeta Wilson, OTR
• Nicholas Wilson
• Nichole K Wilson
• Norma K. Wilson, LCSW
• Paulette C Wilson, M.D.
• Porsha Wilson
• Rachel Clara Wilson, M.D.
• Rebecca L Wilson

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.

Verify at the official NPI Registry.