Individual provider Active NPI

Paige C. Dennis, DNP, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1053951855
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020224 Issued in IL
Practice address
303 E Wacker Dr Ste 2102
Chicago, IL 60601-5314
Phone
(224) 404-0633
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 209020224 IL Primary

Addresses

Primary practice location

303 E Wacker Dr Ste 2102
Chicago, IL 60601-5314

Mailing address

303 E Wacker Dr Ste 2102
Chicago, IL 60601-5314

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
I20201007002332 IL Practitioner - Nurse Practitioner 0941629190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

700 E Walnut St
Bloomington, IL 61701-3244
Phone (309) 827-8004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Jun 30, 2021 Accepting new patients
Radial Health SC CurrentSince Sep 1, 2020 Accepting new patients
Applebaum Physiatry PLLC Family CurrentSince Sep 1, 2024 Accepting new patients

Locations

700 E Walnut St
Bloomington, IL 61701
Phone (309) 827-8004

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

303 E Wacker Dr
Ste 2102
Chicago, IL 60601
Phone (224) 404-0633

26895 Network Pl
Chicago, IL 60673

5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1990 Larkin Ave
Ste 3
Elgin, IL 60123
Phone (630) 201-1533

300 W Lowell Ave
Pontiac, IL 61764
Phone (815) 842-1181

128 S East St
Unit 1109
Crown Point, IN 46308

Organizations & group practices 3

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1053951855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 2102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 2102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015314",
            "telephone_number": "224-404-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "PAIGE",
        "middle_name": "C.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-07-06",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.