Active NPI
Ashley M Chappell, ACNS-BC
- Adult Health Clinical Nurse Specialist
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 209009583
- Practice address
- 1601 Butterfield TRL
Kankakee, IL 60901-2959 - Phone
- (815) 936-6500
- Fax
- (815) 936-6502
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209009583 | IL | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 209009583 | IL | Primary |
Addresses
Primary practice location
1601 Butterfield TRL
Kankakee, IL 60901-2959
Mailing address
1601 Butterfield TRL
Kankakee, IL 60901-2959
Phone (815) 936-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209009583 | Other | IL | IL LICENSE |
Other names 1
- Ashley M Evans
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Provena Way
Suite 103
Bourbonnais, IL 60914-4797
Phone (815) 937-8780
21 Heritage Dr
Suite 102
Bourbonnais, IL 60914-1465
Phone (815) 937-8204
500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2400
Hospital & facility affiliations
- Presence St Marys Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209009583 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
21 Heritage Dr
Ste 102
Bourbonnais, IL 60914
Phone (815) 937-2081
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
455 W Court St
Ste 102
Kankakee, IL 60901
Phone (815) 937-8744
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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1194070458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 BUTTERFIELD TRL",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012959",
"telephone_number": "815-936-6500",
"fax_number": "815-936-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BUTTERFIELD TRL",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012959",
"telephone_number": "815-936-6500",
"fax_number": "815-936-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELL",
"first_name": "ASHLEY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "ACNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209009583",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "IL",
"license": "209009583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "209009583",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "EVANS",
"middle_name": "M",
"credential": "APN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.