Individual provider Active NPI

Emily Tegtmeier

  • Family Nurse Practitioner
  • Lake in the Hills, IL
National Provider Identifier
1003690926
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027439 Issued in IL
Practice address
4565 Heron Dr
Lake in the Hills, IL 60156-1070
Phone
(224) 213-6521
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 209027439 IL Primary

Addresses

Primary practice location

4565 Heron Dr
Lake in the Hills, IL 60156-1070

Mailing address

4565 Heron Dr
Lake in the Hills, IL 60156-1070
Phone (224) 213-6521

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
I20250324002957 IL Practitioner - Nurse Practitioner 7517489107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yarkony Rehabilitation Associates LTDGroup PAC ID 0749318046, 4 clinicians

Practice addresses (Care Compare)

1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4920
Phone (847) 468-1511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yarkony Rehabilitation Associates LTD CurrentSince Feb 1, 2025 Accepting new patients

Locations

1975 Lin Lor Ln
Ste 195
Elgin, IL 60123
Phone (847) 468-1511

Organizations & group practices 1

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1003690926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 HERON DR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561070",
            "telephone_number": "224-213-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 HERON DR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561070",
            "telephone_number": "224-213-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGTMEIER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.