Individual provider Active NPI

Yana Mazya, FNP

  • Nurse Practitioner
  • Evanston, IL
National Provider Identifier
1174165880
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277001979 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1700
Phone
(847) 570-1010
Fax
(847) 733-5108
NPI assigned
Oct 14, 2019
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209019578 IL
Nurse Practitioner 363L00000X 277001979 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209019578 IL

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice location 1

730 W Hintz Rd
Wheeling, IL 60090-5501
Phone (847) 537-7474

Other practice location 2

1512 Artaius Pkwy Ste 200
Libertyville, IL 60048-5231
Phone (855) 751-4267

Other practice location 3

3450 Oakton St
Skokie, IL 60076-2951
Phone (773) 580-8424

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Https://www13.pointclickcare.com

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
I20191125001860 IL Practitioner - Nurse Practitioner 9830522234 Reassigns benefits to 3 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
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

2732 N Hampden CT
Chicago, IL 60614-1612
Phone (773) 248-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277001979ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Recovery Services NFP CurrentSince Jul 25, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Sep 28, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 20, 2025 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients

Locations

2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1512 Artaius Pkwy
Ste 200
Libertyville, IL 60048
Phone (847) 461-1005

3450 Oakton St
Skokie, IL 60076

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1174165880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-1010",
            "fax_number": "847-733-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Hintz Rd",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "IL",
            "postal_code": "600905501",
            "country_code": "US",
            "telephone_number": "847-537-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1512 Artaius Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485231",
            "country_code": "US",
            "telephone_number": "855-751-4267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Oakton St",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600762951",
            "country_code": "US",
            "telephone_number": "773-580-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZYA",
        "first_name": "YANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209019578",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001979",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209019578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Https://www13.pointclickcare.com",
            "affiliation": "N",
            "address_1": "3450 Oakton St",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600762951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.