Individual provider Active NPI

Brittany Jo Rank, PA-C

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1164952271
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085006203 Issued in IL
Practice address
515 N State St Ste 900
Chicago, IL 60654-5826
Phone
(312) 245-9965
Fax
(312) 245-9964
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085006203 IL Primary

Addresses

Primary practice location

515 N State St Ste 900
Chicago, IL 60654-5826

Mailing address

515 N State St Ste 900
Chicago, IL 60654
Phone (312) 245-9965

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
I20170703001381 IL Practitioner - Physician Assistant 4082983218

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.78 of 100Reported as group
Quality
87.26
Promoting interoperability
100
Improvement activities
40
Cost
58.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085006203ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derick Dermatology, PLLC PastSince Aug 6, 2019 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1164952271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N STATE ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "312-245-9965",
            "fax_number": "312-245-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N STATE ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545826",
            "telephone_number": "312-245-9965",
            "fax_number": "312-245-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANK",
        "first_name": "BRITTANY",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085006203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.