Individual provider Active NPI

Lindsay Grosscup, NP

  • Registered Nurse
  • Crystal Lake, IL
National Provider Identifier
1144077280
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041479705 Issued in IL
Practice address
616 Plum CT Unit B
Crystal Lake, IL 60014-2726
Phone
(224) 402-0713
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209029897 IL
Registered Nurse 163W00000X 041479705 IL Primary

Addresses

Primary practice location

616 Plum CT Unit B
Crystal Lake, IL 60014-2726

Mailing address

616 Plum CT Unit B
Crystal Lake, IL 60014-2726
Phone (224) 402-0713

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
I20250618001277 IL Practitioner - Nurse Practitioner 6608387477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Professional Medical Care IncGroup PAC ID 7012169006, 5 clinicians

Practice addresses (Care Compare)

380 Summit St
Elgin, IL 60120-3759
Phone (847) 637-0050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041479705ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Professional Medical Care Inc. CurrentSince Jun 5, 2025 Accepting new patients

Locations

380 Summit St
Elgin, IL 60120
Phone (847) 637-0050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1144077280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PLUM CT UNIT B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600142726",
            "telephone_number": "224-402-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 PLUM CT UNIT B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600142726",
            "telephone_number": "224-402-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSCUP",
        "first_name": "LINDSAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029897",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041479705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.