Individual provider Active NPI

Erin Renee Hurley, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, IL
National Provider Identifier
1104537471
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209026517 Issued in IL
Practice address
10209 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone
(708) 998-2979
NPI assigned
Dec 7, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026517 IL Primary

Addresses

Primary practice location

10209 W Lincoln Hwy
Frankfort, IL 60423-1279

Mailing address

10209 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (708) 998-2979

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KAREO

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
I20230203002605 IL Practitioner - Nurse Practitioner 5799157525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zoelife Healthcare Services IncGroup PAC ID 9830500610, 8 clinicians

Practice addresses (Care Compare)

10209 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (708) 998-2979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zoelife Healthcare Services Inc Psychiatric/Mental Health CurrentSince Jan 23, 2023 Accepting new patients
Hometown Primary Care of Frankfort PLLC Psychiatric/Mental Health PastSince Apr 24, 2022 Accepting new patients

Locations

10209 W Lincoln Hwy
Frankfort, IL 60423
Phone (708) 998-2979

Organizations & group practices 2

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1104537471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231279",
            "telephone_number": "708-998-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231279",
            "telephone_number": "708-998-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "ERIN",
        "middle_name": "RENEE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KAREO",
            "affiliation": "N",
            "address_1": "10209 W Lincoln Hwy",
            "city": "Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604231279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.