Active NPI
Anna Bretschneider, PHD, APRN-BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Forest Park, IL
National Provider Identifier
1083327019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 277.003372
- Practice address
- 8311 Roosevelt Rd
Forest Park, IL 60130-2500 - Phone
- (708) 771-7000
- NPI assigned
- Jan 4, 2023
- Last updated
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 277.003372 | IL | Primary |
Addresses
Primary practice location
8311 Roosevelt Rd
Forest Park, IL 60130-2500
Mailing address
8311 Roosevelt Rd
Forest Park, IL 60130-2500
Phone (708) 771-7000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone (708) 771-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.003372 | IL | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riveredge Hospital Inc | Single Specialty | Current | Accepting new patients |
Locations
8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968
Organizations & group practices 1
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": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1083327019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 ROOSEVELT RD",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601302500",
"telephone_number": "708-771-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8311 ROOSEVELT RD",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601302500",
"telephone_number": "708-771-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETSCHNEIDER",
"first_name": "ANNA",
"credential": "PHD, APRN-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IL",
"license": "277.003372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.