Individual provider Active NPI

Marisa M Schrum, FNP-BC

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1235618927
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017755 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 260
New Lenox, IL 60451-9528
Phone
(157) 178-7448
Fax
(815) 717-8339
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 209.017755 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 260
New Lenox, IL 60451-9528

Mailing address

1890 Silver Cross Blvd Ste 260
New Lenox, IL 60451-9528
Phone (815) 717-8744

Other names 1

  • Marisa M Harpin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@bmisurgery.org Health Information Exchange (HIE)

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
I20180910000019 IL Practitioner - Nurse Practitioner 4385994524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.017755ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bmi Surgery SC CurrentSince Dec 23, 2024 Accepting new patients
Riverside Health System PastSince Sep 7, 2018 Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 260
New Lenox, IL 60451
Phone (815) 717-8744

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1239/brand/1/csg/1/fhir/r4

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1235618927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 260",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519528",
            "telephone_number": "815-717-8744",
            "fax_number": "815-717-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 260",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519528",
            "telephone_number": "157-178-7448",
            "fax_number": "815-717-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRUM",
        "first_name": "MARISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@bmisurgery.org",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1890 Silver Cross Blvd Ste 260",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604519528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "HARPIN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.