Individual provider Active NPI

Lena Marie Beale, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1164078788
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019801 Issued in IL
Practice address
2200 W Touhy Ave
Chicago, IL 60645-3412
Phone
(773) 751-1875
NPI assigned
Aug 11, 2019
Last updated
Aug 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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 209019801 IL Primary

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 1

  • Lena Marie Crossman Former name

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
I20200522002623 IL Practitioner - Nurse Practitioner 3072841980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209019801ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince May 1, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital CurrentSince May 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 25, 2024 Accepting new patients
Saint James Hospital Past Accepting new patients
Cardinal Medical Group, LTD. 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

920 West St
Ste B
Peru, IL 61354
Phone (815) 223-2944

925 West St
Peru, IL 61354
Phone (815) 223-3300

530 Park Ave E
Ste 303A
Princeton, IL 61356
Phone (815) 876-3179

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

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 4

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": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1164078788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 N MANGO AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466307",
            "telephone_number": "815-878-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453412",
            "telephone_number": "773-751-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALE",
        "first_name": "LENA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENA",
            "last_name": "CROSSMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.