Individual provider Active NPI

Alyssa M Aguilar, FNP-C

  • Family Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1174208987
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.027205 Issued in IL
Practice address
400 N Highland Ave
Aurora, IL 60506-3814
Phone
(630) 892-4355
NPI assigned
Jun 19, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 209.027205 IL Primary

Addresses

Primary practice location

400 N Highland Ave
Aurora, IL 60506-3814

Mailing address

400 N Highland Ave
Aurora, IL 60506-3814
Phone (630) 892-4355

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
I20240527000144 IL Practitioner - Nurse Practitioner 4587027610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
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)

661 S Peace Rd
Suite 101
Sycamore, IL 60178-1642
Phone (815) 991-3571

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.027205ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince May 13, 2024 Accepting new patients
Vna Health Care Past Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

853 W Jackson St
Morton, IL 61550

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

10408 N Centerway Dr
Ste C
Peoria, IL 61615

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

3626 N Sheridan Rd
Peoria, IL 61604

5209 W War Memorial Dr
Peoria, IL 61615

5905 N Prospect Rd
Peoria, IL 61614

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

841 Broadmeadow Rd
Rantoul, IL 61866
Phone (217) 282-3010

1986 Freedom Pkwy
Ste 1
Washington, IL 61571

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.

Hospital & facility affiliations 1

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1174208987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "630-892-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "630-892-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.