Individual provider Active NPI

Brenda Nnabueze, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1275197311
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018746 Issued in IL
Practice address
11401 S Oakley Ave
Chicago, IL 60643-4196
Phone
(773) 233-6311
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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 209018746 IL Primary

Addresses

Primary practice location

11401 S Oakley Ave
Chicago, IL 60643-4196

Mailing address

20557 Tyler Dr
Lynwood, IL 60411-8572

Other names 1

  • Brenda Onuselogu Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brenda.n@mpachealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190514001949 IL Practitioner - Nurse Practitioner 5092058073 Reassigns benefits to 1 organization
I20190703002208 IN Practitioner - Nurse Practitioner 5092058073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

5800 Broadway
Merrillville, IN 46410-2601
Phone (219) 884-9180

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209018746ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Jul 15, 2019 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jul 15, 2019 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

5800 Broadway
Merrillville, IN 46410
Phone (219) 884-9180

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1275197311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20557 TYLER DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 S OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434196",
            "telephone_number": "773-233-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNABUEZE",
        "first_name": "BRENDA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brenda.n@mpachealthcare.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "11401 S Oakley Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606434196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "ONUSELOGU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.