Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nimisha Jose

Individual provider Family Nurse Practitioner · NPI 1861029928

Nimisha Jose is a Nurse Practitioner in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
7
Licensed in
IL, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1309 S Halsted St
Chicago, IL 60607-5003
Phone: (312) 413-3000
Fax: (312) 355-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1801 W Taylor St, Chicago, IL 60612-4795 — (312) 413-3627
  • 18600 Dallas Pkwy Apt 910, Dallas, TX 75287-4134 — (940) 465-3158
  • 2700 E Eldorado Pkwy Ste 104b, Little Elm, TX 75068-5999 — (972) 987-0458

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209024772 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP145636 (TX)

Record details

NPI number1861029928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

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 The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chicago