Individual provider Active NPI

Nancy Saradzayi Mhangami, NP

  • Primary Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1023524485
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.017024 Issued in IL
Practice address
303 E Wacker Dr Ste 1127
Chicago, IL 60601-5215
Phone
(847) 385-1796
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.379981 IL
Primary Care Nurse Practitioner 363LP2300X 209.017024 IL Primary

Addresses

Primary practice location

303 E Wacker Dr Ste 1127
Chicago, IL 60601-5215

Mailing address

303 E Wacker Dr Ste 1127
Chicago, IL 60601-5215
Phone (847) 385-1796

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
I20180118001920 IL Practitioner - Nurse Practitioner 9234498361 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.379981ILMDRegistered Nurse
209.017024ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nkinyanjui102154@direct.nch.org

Organizations & group practices 2

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1023524485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1127",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015215",
            "telephone_number": "847-385-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1127",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015215",
            "telephone_number": "847-385-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MHANGAMI",
        "first_name": "NANCY",
        "middle_name": "SARADZAYI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.379981",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.017024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.