Individual provider Active NPI

Anelia Stamatova, PMHNP-BC

  • Family Nurse Practitioner
  • Franklin Park, IL
National Provider Identifier
1063871028
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.002429 Issued in IL
Practice address
10001 Grand Ave
Franklin Park, IL 60131-2563
Phone
(847) 451-0330
NPI assigned
Feb 18, 2016
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.002429 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.002429 IL

Addresses

Primary practice location

10001 Grand Ave
Franklin Park, IL 60131-2563

Mailing address

4311 N Ravenswood Ave Ste 100
Chicago, IL 60613-1192

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
I20160510001761 IL Practitioner - Nurse Practitioner 5193014447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians
Leyden Family Service and Mental Health CenterGroup PAC ID 3274570569, 8 clinicians

Practice addresses (Care Compare)

1 N Broadway St
The Genesis Center
Des Plaines, IL 60016-2335
Phone (847) 298-3150

10001 Grand Ave
Franklin Park, IL 60131-2563
Phone (847) 451-0330

1555 W Howard St
Rogers Park Health Center
Chicago, IL 60626-1707
Phone (773) 764-7146

7450 W 63Rd St
Des Plaines Valley Family Health Center
Summit, IL 60501-1816
Phone (708) 458-0757

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
277.002429ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leyden Family Service & Mental Health Center CurrentSince Jan 8, 2026 Accepting new patients
Access Community Health Network CurrentSince Oct 10, 2016 Accepting new patients
Access Community Health Network CurrentSince Oct 10, 2016 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

1 N Broadway St
Des Plaines, IL 60016
Phone (847) 298-3150

10001 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-0330

Interoperability endpoints

  • Direct secure messaging: astamatova9998@direct.achn.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1063871028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 N RAVENSWOOD AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312563",
            "telephone_number": "847-451-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMATOVA",
        "first_name": "ANELIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.002429",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.002429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

Verify at the official NPI Registry.