Individual provider Active NPI

Ronisha Gabbana Wilson

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1073291944
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.033251 Issued in IL
Practice address
779 W Adams St
Chicago, IL 60661-3509
Phone
(312) 382-8308
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 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 209.033251 IL Primary

Addresses

Primary practice location

779 W Adams St
Chicago, IL 60661-3509

Mailing address

28631 Hannahs Harbor LN
Katy, TX 77494-2269

Other practice location 1

28631 Hannahs Harbor Ln
Katy, TX 77494-2269
Phone (951) 760-6164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231106002430 TX Practitioner - Nurse Practitioner 6002261278 Reassigns benefits to 2 organizations
I20251103000522 IL Practitioner - Nurse Practitioner 6002261278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Physicians Care LLCGroup PAC ID 3870922115, 6 clinicians
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

1 Tiffany PT
Suite 106
Bloomingdale, IL 60108-2915
Phone (224) 653-9507

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.033251ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 29, 2025 Accepting new patients
Insight Physicians Care LLC CurrentSince Sep 16, 2025 Accepting new patients
Pecan Health PLLC Family CurrentSince Sep 11, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 29, 2025 Accepting new patients

Locations

1 Tiffany Pt
Ste 106
Bloomingdale, IL 60108
Phone (224) 653-9507

779 W Adams St
Chicago, IL 60661
Phone (312) 382-8308

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

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

20320 Northwest Fwy
Ste 400A
Jersey Village, TX 77065
Phone (281) 397-0777

201 Kingwood Medical Dr
Ste A200
Kingwood, TX 77339
Phone (346) 345-2092

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1073291944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28631 HANNAHS HARBOR LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613509",
            "telephone_number": "312-382-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28631 Hannahs Harbor Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774942269",
            "country_code": "US",
            "telephone_number": "951-760-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RONISHA GABBANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.033251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.