Individual provider Active NPI

Brittany Ann Sewell, N.P.

  • Family Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1194180356
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014157 Issued in IL
Practice address
5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2394
Phone
(708) 636-1601
Fax
(708) 636-1825
NPI assigned
Dec 15, 2015
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041376555 IL
Family Nurse Practitioner 363LF0000X 209014157 IL Primary

Addresses

Primary practice location

5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2394

Mailing address

16341 Lakeside Dr
Lockport, IL 60441-7030
Phone (708) 297-6052

Other practice location 1

10837 S Cicero Ave Ste 320
Oak Lawn, IL 60453-6459
Phone (708) 636-1601

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Bsewell278542@directmyadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20190801001078 IL Practitioner - Nurse Practitioner 1355638685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Primary Care Center LTDGroup PAC ID 4284781956, 5 clinicians

Practice addresses (Care Compare)

5851 W 95TH St
Suite 100
Oak Lawn, IL 60453-2415
Phone (708) 636-1601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041376555ILMDRegistered Nurse
209014157ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dale S Raines & Associates LTD Current Accepting new patients
Adult Primary Care Center, LTD. CurrentSince Jun 25, 2019 Accepting new patients

Locations

10837 S Cicero Ave
Ste 320
Oak Lawn, IL 60453
Phone (708) 636-1601

5851 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 636-1601

Interoperability endpoints

  • Direct secure messaging: bsewell278542@direct.myadvocateaurora.org
  • Direct secure messaging: bsewell278542@directmyadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HADJAA/Endpoint/HADJAA

Organizations & group practices 2

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 2

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1194180356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16341 LAKESIDE DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417030",
            "telephone_number": "708-297-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532394",
            "telephone_number": "708-636-1601",
            "fax_number": "708-636-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10837 S Cicero Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604536459",
            "country_code": "US",
            "telephone_number": "708-636-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041376555",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bsewell278542@directmyadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5851 W 95th St Ste 100",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5851 W 95th St Ste 100",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.