Michelle Lee Van Ewyk, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209.018061 Issued in IL

Practice address

111 W Rand Rd
Arlington Heights, IL 60004-3142

Phone

(773) 313-8166

Fax

(773) 313-8167

NPI assigned

Sep 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.van.ewyk.1@33161.direct.athenahealth.com

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.

• Nest Pediatrics PC

  • Pediatric Nurse Practitioner
  • Bloomingdale, IL
  • NPI 1144953209

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1013491059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043142",
            "telephone_number": "773-313-8166",
            "fax_number": "773-313-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043142",
            "telephone_number": "773-313-8166",
            "fax_number": "773-313-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EWYK",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-15",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "277.002143",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.412825",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.018061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.van.ewyk.1@33161.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Athena Direct Messaging Email Address",
            "address_1": "111 W Rand Rd",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600043142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edgar Urzua, LCSW
• Isha Vaishampayan
• Rufolfo Moore Valente, D.D.S.
• H. Edward Vallely, DDS
• Cynthia Valukas
• Caroline Mary Vance, MS CCC-SLP
• Christina Vandermyde
• Melissa Varanda
• Bianca Vargas
• Jimmy Varghese, M.D.

• Pediatric Nurse Practitioner in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.