NPIMap

Individual provider Active NPI

Diane Marie Zuelke, ANP-FNP-BC

  • Family Nurse Practitioner
  • Morris, IL
National Provider Identifier
1093024200
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008388 Issued in IL
Practice address
1802 N Division St Ste 703
Morris, IL 60450
Phone
(815) 941-8000
Fax
(815) 705-1712
NPI assigned
Oct 5, 2010
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 209008388 IL Primary

Addresses

Primary practice location

1802 N Division St Ste 703
Morris, IL 60450

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 705-5605

Other practice location 1

1802 N Division St
Suite 703
Morris, IL 60450-1182
Phone (815) 941-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000421 IL Practitioner - Nurse Practitioner 3375727167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personalized Nurse Practitioner Care PLLCGroup PAC ID 4385088814, 2 clinicians
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

Channahon, IL 60410
Phone (815) 714-9019

1802 N Division St
Suite 703
Morris, IL 60450-3104
Phone (815) 942-4506

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joliet Area Community Hospice Corporation CurrentSince Jan 5, 2019 Accepting new patients
Morris Hospital CurrentSince Oct 1, 2015 Accepting new patients
Morris Hospital CurrentSince Oct 1, 2015 Accepting new patients
Morris Hospital Current Accepting new patients
Personalized Nurse Practitioner Care PLLC CurrentSince Dec 4, 2023 Accepting new patients
Morris Hospital Past Accepting new patients

Locations

250 Water Stone Cir
Joliet, IL 60431
Phone (815) 740-4104

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

1300 Dresden Dr
Morris, IL 60450
Phone (815) 942-5200

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1802 N Division St
Ste 703
Morris, IL 60450
Phone (815) 941-8000

725 School St
Ste A
Morris, IL 60450

Interoperability endpoints

  • Direct secure messaging: diane.zuelke.1@14307.direct.athenahealth.com
  • Direct secure messaging: diane.zuelke@direct-address.org

Organizations & group practices 6

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 5

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1093024200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-705-5605",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 703",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "60450",
            "telephone_number": "815-941-8000",
            "fax_number": "815-705-1712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 N Division St",
            "address_2": "Suite 703",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501182",
            "country_code": "US",
            "telephone_number": "815-941-8000",
            "fax_number": "815-705-1712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUELKE",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ANP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.