Individual provider Active NPI

Gloria Nezianya, APN-CNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1023430832
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003178 Issued in IL
Practice address
5145 N California Ave
Ste M276
Chicago, IL 60625-3661
Phone
(773) 878-8200
Fax
(773) 293-4171
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 277003178 IL
Nurse Practitioner 363L00000X 277003178 IL Primary
Gerontology Nurse Practitioner 363LG0600X 277003178 IL
Critical Care Medicine Nurse Practitioner 363LC0200X 277003178 IL
Adult Health Nurse Practitioner 363LA2200X 277003178 IL

Addresses

Primary practice location

5145 N California Ave
Ste M276
Chicago, IL 60625-3661

Mailing address

2740 W Foster Ave
Ste 310
Chicago, IL 60625-3500
Phone (773) 878-8200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address galumona277140@direct.northshore.org

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
I20140515002211 IL Practitioner - Nurse Practitioner 2365665502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Chicago, IL, CCN 140133

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277003178ILMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jan 1, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 27, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. Nurse Practitioner CurrentSince Jul 18, 2016 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jul 18, 2016 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Endeavor Health Medical Group Current Accepting new patients

Locations

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5145 N California Ave
Ste M276
Chicago, IL 60625

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2740 W Foster Ave
Ste 310
Chicago, IL 60625

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1023430832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CALIFORNIA AVE",
            "address_2": "STE M276",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253661",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZIANYA",
        "first_name": "GLORIA",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "277003178",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003178",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "277003178",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "IL",
            "license": "277003178",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277003178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "galumona277140@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5145 N California Ave",
            "address_2": "Ste M276",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.