Individual provider Active NPI

Aneta Grzymala, APRN

  • Family Nurse Practitioner
  • Highland Park, IL
National Provider Identifier
1003557356
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.025027 Issued in IL
Practice address
3330 Skokie Valley Rd
Highland Park, IL 60035-1035
Phone
(847) 386-7744
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.025027 IL Primary

Addresses

Primary practice location

3330 Skokie Valley Rd
Highland Park, IL 60035-1035

Mailing address

10024 Skokie Blvd Ste 323
Skokie, IL 60077-9945
Phone (847) 920-7286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405002107 IL Practitioner - Nurse Practitioner 0840686507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
L and Y Group S.C.Group PAC ID 8426193020, 4 clinicians

Practice addresses (Care Compare)

9150 Crawford Ave
Suite 107
Skokie, IL 60076-1769
Phone (847) 329-7799

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
69.77
Improvement activities
40
Cost
67.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025027ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L & Y Group S.C. CurrentSince Dec 11, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Telemedico Physicians Pulmonary SC PastSince Apr 17, 2022 Accepting new patients

Locations

9150 Crawford Ave
Ste 107
Skokie, IL 60076
Phone (847) 329-7799

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1003557356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD STE 323",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779945",
            "telephone_number": "847-920-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 SKOKIE VALLEY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351035",
            "telephone_number": "847-386-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZYMALA",
        "first_name": "ANETA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.