Nicole Mae Bounphithack, APRN, CNP
NPI 1912766791ActiveIndividual· Nurse Practitioner· Chicago, IL
Nurse Practitioner (APRN, CNP) with Northwestern Medical Faculty Foundation, practicing in Chicago, Illinois. Enrolled in Medicare as practitioner - nurse practitioner. Lists Northwestern Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1912766791 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, CNP |
| Sole proprietor | No |
| NPI issued | Mar 15, 2024 |
| Last updated in NPPES | Aug 11, 2025 |
| Certified by provider | Aug 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.029416 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliation
- Northwestern Memorial HospitalChicago, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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