Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134672116 Individual Practitioner Female Practitioner

Nicole E Back , PA-C

Physician Assistant • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicole Back, PA-C is a certified Physician Assistant practicing in Chicago, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Nicole Back delivers high-quality medical care to the local community at 675 N SAINT CLAIR ST STE 21-100.

Nicole Back is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy and aspiration of bone marrow sample for diagnosis, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

675 N Saint Clair St Ste 21-100

Chicago, IL 606115970

Telephone 3126950990
Fax 3126951106
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +2.2 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Back (10 Years) 10 Yrs
Chicago Specialty Average (7.8 Years) 7.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
21 13 $434.00 $163.21

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085005861

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Hyein Lee

Registered Nurse

NPI 1003739889
Kanithra Sekaran

Hospitalist

NPI 1013596584
Dr. Seema Singhal , MD

Internal Medicine - Hematology

NPI 1013940501

Doctor of Medicine (M.D.)

NPI 1023261138

Doctor of Medicine (M.D.)

Lauren Knisley , NP

Nurse Practitioner - Family

NPI 1023373479

Nurse Practitioner

Dr. Michael Liu , MD, MPH

Internal Medicine - Hematology & Oncology

NPI 1023677960

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 30, 2025

Registered at 675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 606115970 (Tel: 3126950990)

📍
Updated Business Mailing Address October 30, 2025

Registered at 675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 606115970 (Tel: 3126950990)

👤
Provider Name / Credentials Updated October 23, 2024

Recorded as NICOLE BACK, PA-C

📍
Updated Practice Location April 18, 2022

Registered at 5841 S MARYLAND AVE, CHICAGO, IL 606371443 (Tel: 8888240200)

📍
Updated Business Mailing Address April 18, 2022

Registered at 150 HARVESTER DR, SUITE 300, BURR RIDGE, IL 605275919

👤
Provider Name / Credentials Updated April 18, 2022

Recorded as NICOLE GENTRY

📍
Updated Practice Location June 07, 2021

Registered at 675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 606115970 (Tel: 3126950990)

📍
Updated Business Mailing Address June 07, 2021

Registered at 675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 606115970 (Tel: 3126950990)

NPI Profile Active July 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2016

Registered at 1 INGALLS DR, HARVEY, IL 604263558 (Tel: 7083332300)

📍
Updated Business Mailing Address July 26, 2016

Registered at 11821 GLENWELL DR, FISHERS, IN 460384433

👤
Provider Name / Credentials Updated July 26, 2016

Recorded as NICOLE GENTRY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2016

Physician Assistant (License #085005861 in IL)

🟢
Initial NPI Registration & Enumeration July 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134672116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2016
Last Update: October 30, 2025
Sole Proprietor: No

Mailing Address

675 N Saint Clair St Ste 21-100

Chicago, IL 606115970

Phone: 3126950990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.