Individual provider Active NPI

Emily Tyl

  • Adult Health Nurse Practitioner
  • Harvey, IL
National Provider Identifier
1124712880
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.027228 Issued in IL
Practice address
1 Ingalls Dr
Harvey, IL 60426-3558
Phone
(855) 826-3878
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 209.027228 IL Primary

Addresses

Primary practice location

1 Ingalls Dr
Harvey, IL 60426-3558

Mailing address

438 Orleans Ave
Naperville, IL 60565-2638

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
I20230928003776 IL Practitioner - Nurse Practitioner 8820442510 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
Advanced Heart Group SCGroup PAC ID 8022921816, 7 clinicians

Practice addresses (Care Compare)

15255 S Harlem Ave
BLDG B
Orland Park, IL 60462-4329
Phone (708) 331-2200

Hospital & facility affiliations

  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.027228ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Heart Group SC CurrentSince Jul 19, 2023 Accepting new patients
Cardiac Consulting Group SC PastSince Jul 19, 2023 Accepting new patients

Locations

1600 Torrence Ave
Ste 2D
Calumet City, IL 60409
Phone (708) 331-2200

19550 Governors Hwy
Ste 2900
Flossmoor, IL 60422
Phone (708) 331-2200

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

71 W 156th St
Harvey, IL 60426
Phone (708) 331-0405

71 W 156th St
Ste 305
Harvey, IL 60426
Phone (708) 331-2200

15255 S Harlem Ave
Bldg B
Orland Park, IL 60462
Phone (708) 331-2200

Interoperability endpoints

  • Direct secure messaging: etyl276740@uchospital.direct-ci.com
  • Direct secure messaging: emily.tyl.p2@direct.ahgcardiology.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1124712880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 ORLEANS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "855-826-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYL",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.027228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.