Active NPI
Patricia Summers, MSN, AGPCNP-BC, APRN
- Gerontology Nurse Practitioner
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 209.028844
- 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
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 |
|---|---|---|---|---|
| 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
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, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
- Better Care Home Health, Inc
- Accentcare Home Health of Illinois
- Crystal Home Health Care, LLC
- Advocate Home Health Care Serv
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.028844 | IL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Mellon Litigation Services LLC | Current | Accepting new patients | |
| Vpa PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Joliet, IL
- NPI 1710712187
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
-
- Family Medicine Physician
- Burr Ridge, IL
- NPI 1912521071
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mount Prospect, IL
- NPI 1477881746
-
- Home Health Agency
- Schaumburg, IL
- NPI 1487834123
-
- Home Health Agency
- Des Plaines, IL
- NPI 1225281520
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- Home Health Agency
- Lombard, IL
- NPI 1528094109
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.