Individual provider Active NPI

Adanna Okolie, FNP

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1043927874
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
029026273 Issued in IL
Practice address
475 Doxbury LN
New Lenox, IL 60451-3454
Phone
(708) 271-3537
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 029026273 IL Primary

Addresses

Primary practice location

475 Doxbury LN
New Lenox, IL 60451-3454

Mailing address

475 Doxbury LN
New Lenox, IL 60451-3454
Phone (708) 271-3537

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
I20230323001050 IL Practitioner - Nurse Practitioner 1557735099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

New Lenox, IL 60451
Phone (709) 271-3537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029026273ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Wound Institute LLC CurrentSince Aug 28, 2023 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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1043927874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 DOXBURY LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513454",
            "telephone_number": "708-271-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 DOXBURY LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513454",
            "telephone_number": "708-271-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLIE",
        "first_name": "ADANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "029026273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.