Active NPI
James Myers, ACNPC-AG
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277003483
- Practice address
- 676 N Saint Clair St Ste 14-044
Chicago, IL 60611-2927 - Phone
- (312) 908-8163
- Fax
- (312) 695-1394
- NPI assigned
- Oct 14, 2019
- Last updated
- Dec 13, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP143494 | TX | |
| Nurse Practitioner | 363L00000X | 277003483 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St Ste 14-044
Chicago, IL 60611-2927
Mailing address
676 N Saint Clair St Ste 14-044
Chicago, IL 60611-2927
Phone (312) 908-8163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
251 E Huron
Chicago, IL 60611-2908
251 E Huron St
Chicago, IL 60611-2908
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277003483 | IL | MD | Nurse Practitioner |
| AP143494 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Ipc Healthcare Services of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
676 N Saint Clair St
Ste 14044
Chicago, IL 60611
Phone (312) 695-2003
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
Organizations & group practices 6
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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Nurse Practitioner
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
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": "1734048000000",
"number": "1205478906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 14-044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-908-8163",
"fax_number": "312-695-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 14-044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-908-8163",
"fax_number": "312-695-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JAMES",
"credential": "ACNPC-AG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-14",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP143494",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277003483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.