Active NPI
Brittany Noel Vissepo, AGACNP-BC
- Acute Care Nurse Practitioner
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209.025809
- Practice address
- 4440 West 95TH Street
Suite Aip Oak Lawn
Oak Lawn, IL 60453-2600 - Phone
- (708) 684-5400
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.406161 | IL | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 209.025809 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | 209.025809 | IL | Primary |
Addresses
Primary practice location
4440 West 95TH Street
Suite Aip Oak Lawn
Oak Lawn, IL 60453-2600
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other names 1
- Ms. Brittany Noel Disalvo
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bvissepo247793@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000
Hospital & facility affiliations
- Advocate Good Samaritan Hospital
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.406161 | IL | MD | Registered Nurse |
| 209.025809 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
28592 Network Pl
Chicago, IL 60673
9532 Eagle Way
Chicago, IL 60678
29373 Network Pl
Chicago, IL 60673
3815 Highland Ave
Ste Aip
Downers Grove, IL 60515
Phone (630) 275-7100
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
17800 Kedzie Ave
Ste Aip
Hazel Crest, IL 60429
Phone (708) 213-3230
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000
1775 Dempster St
Ste Aip
Park Ridge, IL 60068
Phone (708) 283-5500
Interoperability endpoints
- bvissepo247793@direct.myadvocateaurora.org
Organizations & group practices 5
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Oak Lawn, IL
- NPI 1629441027
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1144953977",
"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",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 WEST 95TH STREET",
"address_2": "SUITE AIP OAK LAWN",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "708-684-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISSEPO",
"first_name": "BRITTANY",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.406161",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "IL",
"license": "209.025809",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209.025809",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bvissepo247793@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4440 West 95th Street",
"address_2": "Suite AIP Oak Lawn",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4440 West 95th Street",
"address_2": "Suite AIP Oak Lawn",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "DISALVO",
"middle_name": "NOEL",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.