Delicia Holmes

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.030366 Issued in IL

Practice address

1580 N Northwest Hwy Ste 121a
Park Ridge, IL 60068-1462

Phone

(847) 813-5779

Fax

(847) 813-5216

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians House CallsGroup PAC ID 2668708579, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acacia Home Health Agency Home health agency, Lombard, IL, CCN 147985

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physicians House Calls

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1366000648
  Medicare reassignment Care Compare group
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1548692890
  Medicare reassignment NPD
• Community Visiting Physicians LLC

  • Multi-Specialty Clinic/Center
  • Bensenville, IL
  • NPI 1497539969
  NPD
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1659952554
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acacia Home Health Agency

  • Home Health Agency
  • Lombard, IL
  • NPI 1841357126
  Care Compare affiliation

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1063252583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 S NORMAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281213",
            "telephone_number": "224-318-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 121A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681462",
            "telephone_number": "847-813-5779",
            "fax_number": "847-813-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DELICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.420596",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.030366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne K Hoffmann, PH.D., CCC-SLP
• Emma Hogaboom
• Daniel Edward Hogan, D.M.D.
• Holistic Warrior Whgy6
• Grace Hollander, RBT
• Judith A Holmes, PHD
• Thomas E Holmes, LCSW
• Thomas G Holmes, M.D.
• Calla M Holmgren, MD
• Katelyn Holsclaw, LCSW

• Nurse Practitioner in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.