Individual provider Active NPI

Gabriela Ibarra, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1053298174
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.032956 Issued in IL
Practice address
5521 S Kedzie Ave Unit 106
Chicago, IL 60629-2448
Phone
(773) 306-2546
NPI assigned
Aug 20, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 209.032956 IL Primary

Addresses

Primary practice location

5521 S Kedzie Ave Unit 106
Chicago, IL 60629-2448

Mailing address

6524 Ridge Dr
Chicago Ridge, IL 60415-1827
Phone (773) 306-2546

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
I20260218002336 IL Practitioner - Nurse Practitioner 2567942402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.032956ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Jan 7, 2026 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jan 7, 2026 Accepting new patients

Locations

5521 S Kedzie Ave
Unit 106
Chicago, IL 60629
Phone (773) 306-2546

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1053298174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 RIDGE DR",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151827",
            "telephone_number": "773-306-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 S KEDZIE AVE UNIT 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292448",
            "telephone_number": "773-306-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "GABRIELA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.032956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.