Individual provider Active NPI

Patricia Summers, MSN, AGPCNP-BC, APRN

  • Gerontology Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1093583833
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.028844 Issued in IL
Practice address
1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Phone
(248) 266-4200
Fax
(855) 618-6655
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.028844 IL Primary

Addresses

Primary practice location

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

1333 Burr Ridge Pkwy
Burr Ridge, IL 60527-6423
Phone (331) 201-7627

Other names 1

  • Patricia Ann Tiu Samaniego Former name

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
I20240201002936 IL Practitioner - Nurse Practitioner 8527411917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians
Mellon Litigation Services LLCGroup PAC ID 7315471679, 2 clinicians

Practice addresses (Care Compare)

Oakbrook Terrace, IL 60181
Phone (312) 818-4650

815 N Larkin Ave
Joliet, IL 60435-3438
Phone (815) 877-8741

Hospital & facility affiliations

  • Carelink Home Health, LLC Home health agency, Schaumburg, IL, CCN 148016
  • Better Care Home Health, Inc Home health agency, Schaumburg, IL, CCN 148227
  • Accentcare Home Health of Illinois Home health agency, Lombard, IL, CCN 147811
  • Crystal Home Health Care, LLC Home health agency, Des Plaines, IL, CCN 148073
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.028844ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jan 1, 2024 Accepting new patients
Mellon Litigation Services LLC CurrentSince Oct 11, 2025 Accepting new patients
Vpa PC CurrentSince Jan 1, 2024 Accepting new patients
Vpa PC Current Accepting new patients

Locations

1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650

815 N Larkin Ave
Joliet, IL 60435
Phone (815) 744-5550

1001 S Main St
Kalispell, MT 59901
Phone (406) 223-5213

Interoperability endpoints

  • Direct secure messaging: patricia.summers.1@32913.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1093583833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270864",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Burr Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605276423",
            "country_code": "US",
            "telephone_number": "331-201-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, AGPCNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.028844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA ANN",
            "last_name": "SAMANIEGO",
            "middle_name": "TIU",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.