Individual provider Active NPI

Dena Gocal McGrath

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1235757196
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019213 Issued in IL
Practice address
812 Campus Dr
Joliet, IL 60435-5128
Phone
(815) 741-6830
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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 209019213 IL Primary

Addresses

Primary practice location

812 Campus Dr
Joliet, IL 60435-5128

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

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
I20200902000132 IL Practitioner - Nurse Practitioner 2062839285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Germane Nephrology AssociatesGroup PAC ID 0446223838, 9 clinicians

Practice addresses (Care Compare)

812 Campus Dr
Joliet, IL 60435-5128
Phone (815) 741-6830

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209019213ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Germane Nephrology Associates CurrentSince Aug 1, 2020 Accepting new patients
Germane Nephrology Associates CurrentSince Aug 1, 2020 Accepting new patients
Kidney Care Center Merrillville LLC Past Accepting new patients

Locations

812 Campus Dr
Joliet, IL 60435
Phone (815) 741-3825

662 Cedar Crossings Dr
Ste B
New Lenox, IL 60451

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13093/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1235757196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CAMPUS DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355128",
            "telephone_number": "815-741-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCAL MCGRATH",
        "first_name": "DENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.