Individual provider Active NPI

Rebecca Maureen Powrozek, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1255569992
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209007645 Issued in IL
Practice address
6145 N Northwest Hwy
Chicago, IL 60631-2127
Phone
(312) 697-7102
Fax
(312) 809-6501
NPI assigned
Jul 1, 2009
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 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 209007645 IL Primary

Addresses

Primary practice location

6145 N Northwest Hwy
Chicago, IL 60631-2127

Mailing address

804 S Maple St
Mount Prospect, IL 60056-4336
Phone (224) 213-3333

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
I20091217000295 IL Practitioner - Nurse Practitioner 8527108810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Anesthesia LTDGroup PAC ID 6103918453, 4 clinicians

Practice addresses (Care Compare)

6145 N Northwest Hwy
Chicago, IL 60631-2127
Phone (312) 809-6500

Merit-based Incentive Payment System (MIPS)

Final score
75.3 of 100Reported as group
Quality
38.9
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209007645ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Anesthesia LTD CurrentSince Aug 1, 2023 Accepting new patients

Locations

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

6145 N Northwest Hwy
Chicago, IL 60631
Phone (857) 706-4907

Organizations & group practices 1

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1255569992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S MAPLE ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564336",
            "telephone_number": "224-213-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312127",
            "telephone_number": "312-697-7102",
            "fax_number": "312-809-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWROZEK",
        "first_name": "REBECCA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.