Individual provider Active NPI

Andrea Bundy, NP

  • Family Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1255639563
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008694 Issued in IL
Practice address
14290 S la Grange Rd
Orland Park, IL 60462-2023
Phone
(844) 755-8267
Fax
(773) 834-8070
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 209008694 IL Primary

Addresses

Primary practice location

14290 S la Grange Rd
Orland Park, IL 60462-2023

Mailing address

14290 S la Grange Rd
Orland Park, IL 60462-2023
Phone (844) 755-8267

Other practice location 1

6150 Joliet Rd
Countryside, IL 60525-3956
Phone (708) 485-2273

Other names 1

  • Andrea Buchheit Former name

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
I20111020000320 IL Practitioner - Nurse Practitioner 7911179759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC Current Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 14, 2020 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Aug 4, 2015 Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 14, 2020 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Aug 4, 2015 Accepting new patients
University of Chicago CurrentSince Feb 20, 2017 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

16906 Collection Ctr Dr
Chicago, IL 60693

6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

14290 S La Grange Rd
Orland Park, IL 60462
Phone (708) 299-1352

Interoperability endpoints

  • Direct secure messaging: abuchheit133119@uchospital.direct-ci.com

Organizations & group practices 6

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255639563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14290 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622023",
            "telephone_number": "844-755-8267",
            "fax_number": "773-834-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14290 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622023",
            "telephone_number": "844-755-8267",
            "fax_number": "773-834-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Joliet Rd",
            "address_purpose": "LOCATION",
            "city": "Countryside",
            "state": "IL",
            "postal_code": "605253956",
            "country_code": "US",
            "telephone_number": "708-485-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BUCHHEIT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.