Rebecca Etrenne, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021345 Issued in IL

Practice address

219 W Chicago Ave
Chicago, IL 60654-5600

Phone

(312) 878-1945

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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.

• Kidney Specialists of Illinois LLC

  • Nephrology Physician
  • Chicago, IL
  • NPI 1275969222

  IL

  Medicare reassignment Care Compare group NPD
• Martin J. Szanto, M.D., S.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1750560009
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney Specialists of Illinois, LLC 4 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2022.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1043963952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 LEE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545600",
            "telephone_number": "312-878-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETRENNE",
        "first_name": "REBECCA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209018264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schmid Etienne
• Nicole Etling, MS, CCC/SLP
• Sophia Grace Etling, MA
• Sodabeh Etminan, DMD
• Darwin Eton, MD
• Samantha Joy Etscheid, RN
• Rachel Elizabeth Etshokin
• Matthew Ettleson, MD
• Yasmeen Annie Ettrick, PHARMD
• Sarah Leah Etzman, M.S. CCC-SLP

• All providers in Chicago, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.