Individual provider Active NPI

Colleen Marie Folkers, ANP-BC

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1043597131
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.009204 Issued in IL
Practice address
1725 W Harrison St
845-Professional Building
Chicago, IL 60612-3841
Phone
(312) 942-0600
Fax
(312) 942-0601
NPI assigned
Nov 3, 2011
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.009204 IL Primary

Addresses

Primary practice location

1725 W Harrison St
845-Professional Building
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
845-Professional Building
Chicago, IL 60612-3841
Phone (312) 942-0600

Other names 1

  • Colleen Marie Hermanek Former name

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
I20130118000286 IL Practitioner - Nurse Practitioner 5597918706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Chicago, IL 60612-3841

2040 Ogden Ave
Aurora, IL 60504-7205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.009204ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Sep 29, 2012 Accepting new patients
Rush University Medical Group CurrentSince Dec 10, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Rush University Medical Center Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 29, 2012 Accepting new patients

Locations

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700

1725 W Harrison St
Ste 155
Chicago, IL 60612
Phone (312) 563-3269

1725 W Harrison St
Ste 161
Chicago, IL 60612
Phone (312) 942-4252

1725 W Harrison St
Ste 352
Chicago, IL 60612
Phone (312) 563-3447

1725 W Harrison St
Ste 845
Chicago, IL 60612
Phone (312) 942-0600

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

2835 N Sheffield Ave
Ste 104
Chicago, IL 60657
Phone (312) 876-4577

75 Remittance Dr
Dept 1611
Chicago, IL 60675

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

Interoperability endpoints

  • Direct secure messaging: cfolkers61963@direct.rush.rush-health.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1043597131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "845-PROFESSIONAL BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-0600",
            "fax_number": "312-942-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "845-PROFESSIONAL BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-0600",
            "fax_number": "312-942-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKERS",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.009204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "HERMANEK",
            "middle_name": "MARIE",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.