Individual provider Active NPI

Vanessa Ortiz

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1205234879
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011090 Issued in IL
Practice address
4327 S Archer Ave
Chicago, IL 60632-2844
Phone
(773) 242-2370
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 209011090 IL Primary

Addresses

Primary practice location

4327 S Archer Ave
Chicago, IL 60632-2844

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 242-2370

Other practice location 1

801 W Lake Ave Ste 200
Peoria, IL 61614-5951
Phone (773) 377-7304

Other identifiers 1

IdentifierTypeStateIssuer
209011090OtherSTATE LICENSE

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
I20150226001810 IL Practitioner - Nurse Practitioner 2264758739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

4327 S Archer Ave
Chicago, IL 60632-2844
Phone (773) 242-2370

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Family CurrentSince Aug 14, 2017 Accepting new patients
Osh-Il Physicians Group LLC Family CurrentSince Mar 10, 2018 Accepting new patients

Locations

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

4327 S Archer Ave
Chicago, IL 60632
Phone (773) 242-2370

2420 State St
East Saint Louis, IL 62205
Phone (618) 318-8809

801 W Lake Ave
Ste 200
Peoria, IL 61614
Phone (773) 377-7304

Interoperability endpoints

  • Direct secure messaging: vanessa.ortiz@oakstreethealth.gwaydirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1205234879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-242-2370",
            "fax_number": "773-249-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322844",
            "telephone_number": "773-242-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Lake Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616145951",
            "country_code": "US",
            "telephone_number": "773-377-7304",
            "fax_number": "773-634-7965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209011090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.