Individual provider Active NPI

Farrah Lemoine Cox, APRN, FNP-BC

  • Family Nurse Practitioner
  • Mundelein, IL
National Provider Identifier
1053199026
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027220 Issued in IL
Practice address
28559 N Skycrest Dr
Mundelein, IL 60060-5307
Phone
(773) 203-9469
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 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 209027220 IL Primary

Addresses

Primary practice location

28559 N Skycrest Dr
Mundelein, IL 60060-5307

Mailing address

28559 N Skycrest Dr
Mundelein, IL 60060-5307

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
I20250325003044 IL Practitioner - Nurse Practitioner 2466975958 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
Group practices
Your Healthcare Source PLLCGroup PAC ID 6709320526, 5 clinicians

Practice addresses (Care Compare)

1366 S Milwaukee Ave
Libertyville, IL 60048-3795
Phone (847) 236-0323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027220ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Healthcare Source PLLC CurrentSince Feb 19, 2025 Accepting new patients

Locations

1366 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 236-0323

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1053199026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28559 N SKYCREST DR",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600605307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28559 N SKYCREST DR",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600605307",
            "telephone_number": "773-203-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "FARRAH",
        "middle_name": "LEMOINE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

Verify at the official NPI Registry.