Individual provider Active NPI

Amanda Serafin, MSN, NP-C

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1295361392
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020862 Issued in IL
Practice address
2130 Point Blvd
Elgin, IL 60123-9215
Phone
(847) 741-5091
NPI assigned
Mar 20, 2020
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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 209020862 IL Primary

Addresses

Primary practice location

2130 Point Blvd
Elgin, IL 60123-9215

Mailing address

2406 Emily LN
Elgin, IL 60124-8743

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
I20200421002439 IL Practitioner - Nurse Practitioner 1759711484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

890 Garfield Ave
Suite 210
Libertyville, IL 60048-3100
Phone (847) 816-6538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Current Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince May 15, 2020 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince May 15, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

1529 S Grove Ave
Barrington, IL 60010
Phone (630) 756-4149

530 N Hough St
Ste 180B
Barrington, IL 60010

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

1435 N Randall Rd
Ste 404
Elgin, IL 60123
Phone (847) 741-5091

2130 Point Blvd
Elgin, IL 60123
Phone (847) 428-3605

890 Garfield Ave
Ste 210
Libertyville, IL 60048
Phone (847) 680-5858

2250 W Algonquin Rd
Ste 112
Lk in the Hls, IL 60156
Phone (847) 854-0688

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

1701 E Woodfield Rd
Ste 760
Schaumburg, IL 60173

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1295361392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 EMILY LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 POINT BLVD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239215",
            "telephone_number": "847-741-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFIN",
        "first_name": "AMANDA",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.