Individual provider Active NPI

Aleksandra Vargas, FNP-BC

  • Family Nurse Practitioner
  • Lombard, IL
National Provider Identifier
1154086767
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023495 Issued in IL
Practice address
1S072 Luther Ave
Lombard, IL 60148-4164
Phone
(630) 247-8877
Fax
(630) 576-0580
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 209023495 IL Primary

Addresses

Primary practice location

1S072 Luther Ave
Lombard, IL 60148-4164

Mailing address

9332 Ozark Ave
Morton Grove, IL 60053-1062
Phone (224) 565-5459

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
I20220210002760 IL Practitioner - Nurse Practitioner 4688067861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Id Associates LimitedGroup PAC ID 8820354616, 4 clinicians

Practice addresses (Care Compare)

5 Hunt Club LN
Oak Brook, IL 60523-2328
Phone (708) 361-5778

Hospital & facility affiliations

  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Id Associates Limited CurrentSince Oct 6, 2021 Accepting new patients

Locations

1S072 Luther Ave
Lombard, IL 60148
Phone (630) 247-8877

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.

Hospital & facility affiliations 2

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1154086767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 OZARK AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531062",
            "telephone_number": "224-565-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S072 LUTHER AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484164",
            "telephone_number": "630-247-8877",
            "fax_number": "630-576-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "ALEKSANDRA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.