Dayna Nicole Portnoy, NP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041-265829 Issued in IL

Practice address

1200 Central Ave
Suite 200
Wilmette, IL 60091-2654

Phone

(847) 256-1705

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA, MO, NE, VA, NY, IN, OH7 enrollments

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 7

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dportnoy20957@carelonhealth.direct-ci.com

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.

• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  IA, IN, MO, NE, OH, VA

  Medicare reassignment
• Midwest Palliative & Hospice Carecenter

  • Home Health Agency
  • Glenview, IL
  • NPI 1811011919
  NPD (past)
• Respite Care/Care in the Home, Inc.

  dba Care In the Home Health Services

  • Home Health Agency
  • Glenview, IL
  • NPI 1588649552
  NPD (past)
• Respitecare-Care in the Home, Inc

  dba Care in the Home Wisconsin

  • Home Health Agency
  • Pleasant Prairie, WI
  • NPI 1558733097
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1265476345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 RIDGE AVE",
            "address_2": "14-2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023357",
            "telephone_number": "847-905-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912654",
            "telephone_number": "847-256-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "DAYNA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041-265829",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-006098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00378000",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXXXXX-001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Cook DDS LLC
• Danielle Nicole Phillips, DOT
• Physical Therapy at Home LLC
• PKT Inc (New Vision Optical Boutique)
• Noelle Kathleen Pontarelli, PHD
• Harry Paul Poulos, M.D.
• Powers Physical Therapy LLC
• Presence Ambulatory Service (Presence Rehab Clinic)
• Darcie Marilyn Price-Wallace, LCSW
• Nanci Priest, L.C.S.W.

• General Practice Registered Nurse in Wilmette, IL
• Providers in Wilmette, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.