Bruce Noxon, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

061-0049911 Issued in IL

Practice address

2200 Waukegan Rd
Glenview, IL 60025-1759

Phone

(847) 588-7670

Fax

(888) 202-3110

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Active Health PLLCGroup PAC ID 2860841020, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent General Hospital District Hospital, Leadville, CO, CCN 061319
• St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.noxon.1@16856.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.

• Elevate Active Health PLLC

  • Foot & Ankle Surgery Podiatrist
  • Glenview, IL
  • NPI 1164296224
  Medicare reassignment Care Compare group NPD
• Bruce E Noxon DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Breckenridge, CO
  • NPI 1750083515
  Medicare reassignment NPD Authorized official
• St. Vincent General Hospital District

  • Critical Access Hospital
  • Leadville, CO
  • NPI 1457315152
  Medicare reassignment NPD
• St. Vincent General Hospital District

  • Primary Care Clinic/Center
  • Leadville, CO
  • NPI 1497710958
  Medicare reassignment NPD
• St. Vincent General Hospital District

  • Rural Health Clinic/Center
  • Leadville, CO
  • NPI 1467047183
  NPD

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

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Frisco, CO
  • NPI 1720096092
  Care Compare affiliation
• St. Vincent General Hospital District

  • Critical Access Hospital
  • Leadville, CO
  • NPI 1407811961
  Care Compare affiliation
• St. Vincent General Hospital District

  • Critical Access Hospital
  • Leadville, CO
  • NPI 1457315152
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1043263171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7433",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804247433",
            "telephone_number": "847-558-7670",
            "fax_number": "888-202-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251759",
            "telephone_number": "847-588-7670",
            "fax_number": "888-202-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOXON",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004911",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "061-0049911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Novak, PSY.D.
• Kristian R. Novakovic, MD
• Nancy R Novotny, M.D.
• Novus Counseling Collaborative, LLC
• Susan L Nowak, COTA/L
• Colleen Malley Nugent, MD
• Carol Ann O'Connor, PH.D.
• Danielle O'Donnell
• Lizetta O'Donnell
• Jeffrey H O'Koon, PH.D.

• Foot & Ankle Surgery Podiatrist in Glenview, IL
• Providers in Glenview, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.