Lena Marie Beale, APRN
Individual provider Active NPI Family Nurse Practitioner · Chicago, IL
NPI 1164078788 · NPPES record last updated Aug 11, 2019
Key facts
- NPI
- 1164078788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209019801 (IL)
- Practice address
- 2200 W Touhy Ave
Chicago, IL 60645-3412 - Phone
- (773) 751-1875
- NPI assigned
- Aug 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
111 Spring St
Streator, IL 61364-3332
Phone (815) 673-2311
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
920 W St
Peru, IL 61354-2763
Hospital & facility affiliations
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Clare Medical Center
- Osf Saint Paul Medical Center
- Saint James Hospital
- Saint Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200522002623 | IL | Practitioner - Nurse Practitioner | 3072841980 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current |
Accepting new patients | |
| Saint James Hospital | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Saint James Hospital | Past | Accepting new patients |
Locations
1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461
1050 E Norris Dr
Ste 1B
Ottawa, IL 61350
Phone (815) 434-0276
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
925 West St
Peru, IL 61354
Phone (815) 223-3300
920 West St
Ste B
Peru, IL 61354
Phone (815) 223-2944
530 Park Ave E
Ste 303A
Princeton, IL 61356
Phone (815) 876-3179
111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209019801 | IL | Yes |
Addresses
Primary practice location
2200 W Touhy Ave
Chicago, IL 60645-3412
Mailing address
5727 N Mango Ave FL 2
Chicago, IL 60646-6307
Phone (815) 878-0878
Other names
- Lena Marie Crossman
Other providers in Chicago, IL
- Linnea A Beader
- Rachel Beagley
- Maribeth Beahan
- Michael Beal
- Susanne Yuko Beal
- Valerie Beale
- Coral Bealer
- Jennifer Dawn Bealer
- Allan Julian Beall Sacasa
- Clarence Beals
All providers in Chicago, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.