Nicole Mae Bounphithack , APRN, CNP
Nurse Practitioner β’ Chicago, IL
675 N Saint Clair St Ste 19-100
Chicago, IL 606115969
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
675 N Saint Clair St Ste 19-100
Chicago, IL 606115969
CMS Doctors and Clinicians lists 1 group name: Northwestern Medical Faculty Foundation. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2023
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
Years since graduation
3 years (graduated 2023)
CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2024
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nicole Bounphithack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nicole Bounphithack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chicago and Illinois
952 active clinicians are listed under Nurse Practitioner with a practice address in Chicago, IL (4,894 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
20% of these 952 clinicians have the CMS telehealth indicator.
56.2% of these 952 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-08-11NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20250716000392
IL
0446765671
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Northwestern Medical Faculty Foundation
251 E Huron St, Chicago, IL 606112908
Northwestern Medical Faculty Foundation
675 N St Clair, Chicago, IL 606115975
Northwestern Medical Faculty Foundation
675 N Saint Clair St, Chicago, IL 606115975
Northwestern Medical Faculty Foundation
251 E Huron, Chicago, IL 606112908
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Advanced Practice Registered Nurse, Certified Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Acute Care
Registered Nurse, Certified Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 606115969 (Tel: 3126643278)
Registered at 675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 606115969 (Tel: 3126643278)
Recorded as NICOLE BOUNPHITHACK, APRN, CNP
NPI status registered as active in NPPES database
Registered at 1915 N CLYBOURN AVE, CHICAGO, IL 606144903 (Tel: 7735986995)
Registered at 3510 W PALMER ST APT 1E, CHICAGO, IL 606473553 (Tel: 8155058586)
Recorded as NICOLE BOUNPHITHACK, APRN
Nurse Practitioner (license number reported to NPPES: IL 209.029416)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Chicago
- Ann Harvey, APN, CNP
- Jenifer Burke, CPNP-PC
- Allan Boquiren, MSN
- Aubrey Locey, APRN, CNP
- Jenica Sidler, APP
- Sara Bagherihut, APN-CNP
Mailing Address
675 N Saint Clair St Ste 19-100
Chicago, IL 606115969
Phone: 3126643278