Individual provider Active NPI

Adrienn Myers-Woods, NP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1245774132
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
209.015185 Issued in IL
Practice address
840 W Irving Park Rd Ste 305
Chicago, IL 60613-3011
Phone
(773) 975-6775
Fax
(773) 975-3289
NPI assigned
Dec 12, 2016
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209.015185 IL Primary

Addresses

Primary practice location

840 W Irving Park Rd Ste 305
Chicago, IL 60613-3011

Mailing address

2845 N Sheridan Rd
Suite 902
Chicago, IL 60657-7227
Phone (773) 904-8641

Other practice location 1

751 N Rutledge St
Suite 0100
Springfield, IL 62702-4968
Phone (217) 545-8000

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
I20170118001583 IL Practitioner - Nurse Practitioner 8224310750 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.015185ILMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Jan 1, 2017 Accepting new patients
All for Women Healthcare SC CurrentSince Feb 15, 2021 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jan 1, 2017 Accepting new patients
Lakeview Pulmonary & Sleep Consultants LTD PastSince Apr 20, 2021 Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

2845 N Sheridan Rd
Ste 902
Chicago, IL 60657
Phone (773) 904-8641

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

751 N Rutledge St
Ste 100
Springfield, IL 62702

Interoperability endpoints

  • Direct secure messaging: adrienn.myers-woods@335000925634564.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1245774132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "SUITE 902",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-904-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W IRVING PARK RD STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133011",
            "telephone_number": "773-975-6775",
            "fax_number": "773-975-3289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 N Rutledge St",
            "address_2": "Suite 0100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627024968",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS-WOODS",
        "first_name": "ADRIENN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209.015185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.