Individual provider Active NPI

Andrea Edwards Zuckerman, APN-BC

  • Adult Health Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1114273786
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209009530 Issued in IL
Practice address
1755 Park St Ste 300
Naperville, IL 60563-8497
Phone
(630) 983-8920
Fax
(630) 983-4839
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209009530 IL Primary

Addresses

Primary practice location

1755 Park St Ste 300
Naperville, IL 60563-8497

Mailing address

1755 Park St Ste 300
Naperville, IL 60563-8497
Phone (630) 983-8920

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
I20121110000194 IL Practitioner - Nurse Practitioner 5890946339 Reassigns benefits to 2 organizations

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
Healthy4Life LLCGroup PAC ID 2163911702, 2 clinicians

Practice addresses (Care Compare)

1755 Park St
Suite 300
Naperville, IL 60563-8497
Phone (630) 983-8920

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy4Life LLC CurrentSince Oct 1, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 10, 2012 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 10, 2012 Accepting new patients

Locations

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

100 Spalding Dr
Ste 208
Naperville, IL 60540
Phone (630) 527-3213

1755 Park St
Ste 300
Naperville, IL 60563
Phone (630) 416-6056

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

Interoperability endpoints

  • Direct secure messaging: healthy4life.andreaedwards@161719.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1114273786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 PARK ST STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638497",
            "telephone_number": "630-983-8920",
            "fax_number": "630-983-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARK ST STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638497",
            "telephone_number": "630-983-8920",
            "fax_number": "630-983-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "ANDREA",
        "middle_name": "EDWARDS",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.