Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053032805 Individual Practitioner Female Practitioner

Nicolette V. Nazanin , APN-DNP

Nurse Practitioner • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Nicolette Nazanin, APN-DNP is a certified Nurse Practitioner practicing in Evanston, IL. With approximately 4 years of clinical experience since graduating from Rush Medical College Of Rush University in 2022, Nicolette Nazanin delivers high-quality medical care to the local community at 2650 RIDGE AVE.

Nicolette Nazanin does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8479823172
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Evanston, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
140 Specialists

Practicing in Evanston, IL (4929 Statewide)

Telehealth Adoption Rate
21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nazanin (4 Years) 4 Yrs
Evanston Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209025912

(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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Nicholas Mcnallen , PA-C

Physician Assistant

NPI 1083472468

Physician Assistant (Certified)

Shelby Matillano , APN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1114764925

APNCRNA

NPI 1316560063

Doctor of Medicine (M.D.)

Dr. Joseen Bryant , MD

Family Medicine - Sports Medicine

NPI 1326333618

Doctor of Medicine (M.D.)

NPI 1427676899

APNCNP

Stacey Obermeyer , APN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1558319616

APNCRNA

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 08, 2025

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8479823172)

📍
Updated Business Mailing Address July 08, 2025

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8479823172)

👤
Provider Name / Credentials Updated July 08, 2025

Recorded as NICOLETTE NAZANIN, APN-DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2025

Nurse Practitioner (License #209025912 in IL)

NPI Profile Active September 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2022

Registered at 225 E CHICAGO AVE, CHICAGO, IL 606112991 (Tel: 3122274000)

📍
Updated Business Mailing Address September 09, 2022

Registered at 9725 WOODS DR UNIT 504, SKOKIE, IL 600774450 (Tel: 8477218612)

👤
Provider Name / Credentials Updated September 09, 2022

Recorded as NICOLETTE NAZANIN, NNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2022

Nurse Practitioner (License #209025912 in IL)

🟢
Initial NPI Registration & Enumeration September 09, 2022

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: 1053032805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2022
Last Update: July 08, 2025
Sole Proprietor: No

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

Phone: 8479823172

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.