Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Kristen Fisch, PA-C

Individual provider Physician Assistant · NPI 1811494917

Nicole Kristen Fisch, PA-C is a Physician Assistant in Highland Park, Illinois. Qualified in 2017, 9 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

777 Park Ave W
Highland Park, IL 60035-2433
Phone: (847) 570-2868
Fax: (847) 733-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12251 S 80th Ave, Palos Heights, IL 60463-1290 — (708) 923-4200

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085006561 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085006561 (IL)

Record details

NPI number1811494917
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 6, 2018
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Highland Park