Individual provider Active NPI

Michelle Mewes, MSN, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1144951005
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.025352 Issued in IL
Practice address
2350 Royal Blvd Ste 100
Elgin, IL 60123-4718
Phone
(847) 695-8100
NPI assigned
Jun 22, 2022
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209.025352 IL Primary

Addresses

Primary practice location

2350 Royal Blvd Ste 100
Elgin, IL 60123-4718

Mailing address

2350 Royal Blvd Ste 100
Elgin, IL 60123-4718
Phone (847) 695-8100

Other practice location 1

1943 Burnett Dr
Belvidere, IL 61008-1740
Phone (815) 621-7134

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
I20230508000988 IL Practitioner - Nurse Practitioner 0143685560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jet Healthcare LLCGroup PAC ID 1456781889, 20 clinicians

Practice addresses (Care Compare)

5979 Nebeshone LN
Rockford, IL 61103-8926

811 W 2ND St
Byron, IL 61010-1464
Phone (815) 234-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
18.33
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.025352ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elio M Vento MD & Associates SC CurrentSince Jun 26, 2022 Accepting new patients
Jet Healthcare LLC CurrentSince Nov 27, 2024 Accepting new patients
Integrative Rehabmedicine SC CurrentSince Oct 9, 2023 Accepting new patients
Cardinalight Health, LLC PastSince Jun 26, 2022 Accepting new patients

Locations

2350 Royal Blvd
Ste 100
Elgin, IL 60123
Phone (847) 695-8100

4225 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (224) 456-6662

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21874/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDBJBA

Organizations & group practices 4

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 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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1144951005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234718",
            "telephone_number": "847-695-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234718",
            "telephone_number": "847-695-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1943 Burnett Dr",
            "address_purpose": "LOCATION",
            "city": "Belvidere",
            "state": "IL",
            "postal_code": "610081740",
            "country_code": "US",
            "telephone_number": "815-621-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEWES",
        "first_name": "MICHELLE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.025352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.