Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Genevieve San Nicolas, APRN, AGACNP-BC, DNP

Individual provider Nurse Practitioner · NPI 1174090500

Genevieve San Nicolas, APRN, AGACNP-BC, DNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
7
Licensed in
FL, IL
In the registry since
2018
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

251 E Huron St Ste 5-704
Chicago, IL 60611-2908
Phone: (312) 695-0061
Fax: (312) 926-8341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209032944 (IL)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 9363062 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9363092 (FL)

Record details

NPI number1174090500
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGACNP-BC , DNP
Sole proprietorNo
NPI enumeratedOctober 24, 2018
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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