Active NPI
Vicki Marie Fahey, FNP-C
- Family Nurse Practitioner
- Elgin, IL
National Provider Identifier
1295331387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.022334
- Practice address
- 2350 Royal Blvd Ste 100
Elgin, IL 60123-4718 - Phone
- (847) 695-8100
- NPI assigned
- Dec 5, 2020
- Last updated
- Dec 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.022334 | IL | Primary |
Addresses
Primary practice location
2350 Royal Blvd Ste 100
Elgin, IL 60123-4718
Mailing address
1611 Hartley Dr
Algonquin, IL 60102-4337
Phone (847) 648-0221
Other practice location 1
1611 Hartley Dr
Algonquin, IL 60102-4337
Phone (847) 658-0952
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vfahey244567@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 Royal Blvd
Suite 100
Elgin, IL 60123-4718
Phone (847) 695-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.022334 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elio M Vento MD & Associates SC | Current | Accepting new patients | |
| Cardinalight Health, LLC | Family | Past | Accepting new patients |
Locations
2350 Royal Blvd
Ste 100
Elgin, IL 60123
Phone (847) 695-8100
Interoperability endpoints
- https://api.platform.athenahealth.com/21874/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/FDBJBA
- vfahey244567@direct.myadvocateaurora.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1063635431
-
- Family Nurse Practitioner
- Crystal Lake, IL
- NPI 1760956726
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Shepherd Hospital
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1295331387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 HARTLEY DR",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601024337",
"telephone_number": "847-648-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 ROYAL BLVD STE 100",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234718",
"telephone_number": "847-695-8100"
}
],
"practiceLocations": [
{
"address_1": "1611 Hartley Dr",
"address_purpose": "LOCATION",
"city": "Algonquin",
"state": "IL",
"postal_code": "601024337",
"country_code": "US",
"telephone_number": "847-658-0952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAHEY",
"first_name": "VICKI",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-05",
"last_updated": "2021-12-16",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.022334",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vfahey244567@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2350 Royal Blvd Ste 100",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601234718",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2350 Royal Blvd Ste 100",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601234718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.