Colleen M Grandowski, ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277000793 Issued in IL

Practice address

21202 Owens Rd Ste 101
Mokena, IL 60448-2001

Phone

(779) 334-0030

Fax

(779) 334-0031

NPI assigned

Oct 23, 2009

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 1

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

Specialty

Nurse Practitioner

Education

Loyola University of Chicago, Stritch School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
• Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
• Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mount Sinai Community Foundation

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689
  Medicare reassignment Care Compare group NPD
• E Mediate Cure LLC

  • Urgent Care Clinic/Center
  • Shorewood, IL
  • NPI 1780051466
  Medicare reassignment NPD
• Bonaventure Medical Foundation, LLC

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  Medicare reassignment
• Mount Sinai Community Foundation

  • Family Medicine Physician
  • Des Plaines, IL
  • NPI 1134164841
  NPD
• Mount Sinai Community Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Emergency Medicine Physicians of Will County, LLC

  • Emergency Medicine Physician
  • Joliet, IL
  • NPI 1841572906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  Care Compare affiliation
• Mount Sinai Hospital Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1871581314
  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• St Marys Hospital - Kankakee LLC

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1467290809
  Care Compare affiliation

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1265768352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21202 OWENS RD STE 101",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482001",
            "telephone_number": "779-334-0030",
            "fax_number": "779-334-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21202 OWENS RD STE 101",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482001",
            "telephone_number": "779-334-0030",
            "fax_number": "779-334-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDOWSKI",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2022-01-17",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209007785",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2009006540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gold Coast Orthopedics and Rehabilitation, LTD
• Ashley Renae Gomulka, APRN, FNP-BC
• Lashawn Gordon, FNP
• Kerri Gorecki
• Melissa Grahonya
• Sharyn Lyn Gray, MS
• Great Changes Counseling Services, P.C.
• Claudia Elena Gricus, MHS/CCC-SLP
• Alexandria Hope Griffin
• Tammy S Grode, M.A.,LCPC

• Nurse Practitioner in Mokena, IL
• Providers in Mokena, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.