NPIMap

Individual provider Active NPI

Mark H Galera, NP

  • Family Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1144811779
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022649 Issued in IL
Practice address
20 Tower CT Ste a
Gurnee, IL 60031-5711
Phone
(847) 244-3525
NPI assigned
Jan 27, 2021
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209022649 IL Primary

Addresses

Primary practice location

20 Tower CT Ste a
Gurnee, IL 60031-5711

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Other practice location 1

5250 Old Orchard Rd
Skokie, IL 60077-4460
Phone (847) 920-0902

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address mgalera232376@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826001805 IL Practitioner - Nurse Practitioner 2163827361 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians

Practice addresses (Care Compare)

20 Tower CT
Suite a
Gurnee, IL 60031-5711
Phone (847) 244-3525

5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 920-0902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209022649ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hansamssp LLC CurrentSince Aug 19, 2025 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince May 1, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 18, 2024 Accepting new patients
Hyong Kim MD Service Corporation CurrentSince Jan 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 18, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910

29373 Network Pl
Chicago, IL 60673

20 Tower Ct
Ste A
Gurnee, IL 60031
Phone (708) 244-3525

Interoperability endpoints

  • Direct secure messaging: mgalera232376@direct.myadvocateaurora.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1144811779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER CT STE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315711",
            "telephone_number": "847-244-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Old Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600774460",
            "country_code": "US",
            "telephone_number": "847-920-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALERA",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "20 Tower Ct Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgalera232376@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Tower Ct Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.