Active NPI
Maria Andreea Bordeianu, FPA-APRN
- Psychiatric/Mental Health Nurse Practitioner
- Niles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 277002341
- Practice address
- 7800 N Milwaukee Ave
Niles, IL 60714-3124 - Phone
- (312) 809-0777
- Fax
- (773) 492-8783
- NPI assigned
- May 16, 2020
- Last updated
- Oct 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277002341 | IL | Primary |
| Assistant Behavior Analyst | 106E00000X | NU |
Addresses
Primary practice location
7800 N Milwaukee Ave
Niles, IL 60714-3124
Mailing address
6050 N California Ave Ste 101
Chicago, IL 60659-3916
Phone (773) 406-2866
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, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7800 N Milwaukee Ave
Niles, IL 60714-3124
Phone (773) 406-2866
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Mantis Care | Current | Accepting new patients |
Locations
6050 N California Ave
Chicago, IL 60659
Phone (847) 675-6093
6050 N California Ave
Ste 101
Chicago, IL 60659
Phone (312) 809-0777
7800 N Milwaukee Ave
Niles, IL 60714
Phone (312) 809-0777
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Niles, IL
- NPI 1467053306
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1114549755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 N CALIFORNIA AVE STE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593916",
"telephone_number": "773-406-2866",
"fax_number": "847-675-6092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N MILWAUKEE AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607143124",
"telephone_number": "312-809-0777",
"fax_number": "773-492-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDEIANU",
"first_name": "MARIA",
"middle_name": "ANDREEA",
"name_prefix": "Dr.",
"credential": "FPA-APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-16",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "277002341",
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.