Active NPI
Patricia A Piasecki, APN
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-002518
- Practice address
- 1611 W Harrison St
Suite 400
Chicago, IL 60612-4861 - Phone
- (312) 243-4244
- NPI assigned
- Dec 1, 2010
- Last updated
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-002518 | IL | Primary |
| Licensed Practical Nurse | 164W00000X | 041-190409 | IL |
Addresses
Primary practice location
1611 W Harrison St
Suite 400
Chicago, IL 60612-4861
Mailing address
1 Westbrook Corporate Ctr
Suite 240
Westchester, IL 60154-5701
Phone (708) 236-2673
Other names 1
- Patricia A Moriarty
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-190409 | IL | MD | Licensed Practical Nurse |
| 209-002518 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush, LLC | Current | Accepting new patients |
Locations
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- ppiasecki8761@direct.rush.rush-health.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1255633954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTBROOK CORPORATE CTR",
"address_2": "SUITE 240",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545701",
"telephone_number": "708-236-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST",
"address_2": "SUITE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "312-243-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIASECKI",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-002518",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "041-190409",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "MORIARTY",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.