Individual provider Active NPI

Ann Scoigletti, APN, FNP-BC

  • Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1245445394
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-001365 Issued in IL
Practice address
10260 191St St Ste 100
Mokena, IL 60448-8802
Phone
(708) 572-7575
Fax
(708) 572-7576
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-001365 IL Primary

Addresses

Primary practice location

10260 191St St Ste 100
Mokena, IL 60448-8802

Mailing address

13305 S Ridgeland Ave
Unit B
Palos Heights, IL 60463-1808
Phone (708) 389-9226

Other practice location 1

9730 S Western Ave Ste 700
Evergreen Park, IL 60805-2814
Phone (708) 572-7575

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
I20040414000490 IL Practitioner - Nurse Practitioner 9931193679 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-001365ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providea Health Partners, LLC CurrentSince Apr 22, 2025 Accepting new patients
C.G.Peters LLC Past Accepting new patients
Ucm Medical Group Sub, LLC Nurse Practitioner PastSince Jan 1, 2013 Accepting new patients

Locations

9730 S Western Ave
Ste 700
Evergreen Pk, IL 60805
Phone (708) 425-1907

10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.70301

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1245445394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 S RIDGELAND AVE",
            "address_2": "UNIT B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631808",
            "telephone_number": "708-389-9226",
            "fax_number": "708-389-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 191ST ST STE 100",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488802",
            "telephone_number": "708-572-7575",
            "fax_number": "708-572-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9730 S Western Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608052814",
            "country_code": "US",
            "telephone_number": "708-572-7575",
            "fax_number": "708-572-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOIGLETTI",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-001365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.