Active NPI
Melissa Alysom Mozwecz, APN NNP-BC
- Critical Care Neonatal Nurse Practitioner
- Chicago, IL
National Provider Identifier
1023414406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 209012128
- Practice address
- 225 East Chicago Ave
Chicago, IL 60611 - Phone
- (312) 227-4000
- NPI assigned
- Nov 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 209012128 | IL | Primary |
Addresses
Primary practice location
225 East Chicago Ave
Chicago, IL 60611
Mailing address
225 East Chicago Ave
Chicago, IL 60611
Phone (312) 227-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209012128 | IL | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children's Medical Group, LLC | Past | Accepting new patients |
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": "1415750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1023414406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 EAST CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-227-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 EAST CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-227-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZWECZ",
"first_name": "MELISSA",
"middle_name": "ALYSOM",
"credential": "APN NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-12",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "IL",
"license": "209012128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.