Individual provider Active NPI

Mirna Misseha

  • Family Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1053153312
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.029669 Issued in IL
Practice address
2215 Sanders Rd Ste 110N
Northbrook, IL 60062-6126
Phone
(708) 914-5145
NPI assigned
Jun 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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 209.029669 IL Primary

Addresses

Primary practice location

2215 Sanders Rd Ste 110N
Northbrook, IL 60062-6126

Mailing address

2215 Sanders Rd Ste 110N
Northbrook, IL 60062-6126
Phone (708) 914-5145

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
I20250905001952 IL Practitioner - Nurse Practitioner 6800398157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karas PCGroup PAC ID 8426272022, 6 clinicians

Practice addresses (Care Compare)

2215 Sanders Rd
Suite 110N
Northbrook, IL 60062-6126
Phone (248) 533-5743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.029669ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karas PC CurrentSince Jun 13, 2025 Accepting new patients
Karas PC CurrentSince Jun 13, 2025 Accepting new patients

Locations

1725 E 95th St
Chicago, IL 60617
Phone (800) 238-9307

2215 Sanders Rd
Ste 110N
Northbrook, IL 60062
Phone (248) 533-5743

600 W 22nd St
Oak Brook, IL 60523
Phone (630) 230-6505

60 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (214) 289-8282

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": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1053153312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SANDERS RD STE 110N",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626126",
            "telephone_number": "708-914-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SANDERS RD STE 110N",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626126",
            "telephone_number": "708-914-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSEHA",
        "first_name": "MIRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.