Joan Annette Ollie, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209017595 Issued in IL

Practice address

2100 E 87TH St
Chicago, IL 60617-3011

Phone

(773) 768-5000

Fax

(773) 978-8367

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Joan Ollie Professional name

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tca Health Inc NFPGroup PAC ID 5991696643, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joan.ollie.1@15548.direct.athenahealth.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.

• Tca Health Inc NFP

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1184757353
  Medicare reassignment Care Compare group
• Vpa PC

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1174925663

  Single Specialty

  Medicare reassignment NPD
• Vitas Health Services of Texas, P.a.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1740566017

  IL, Single Specialty

  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Burr Ridge, IL
  • NPI 1629692785
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362

  Single Specialty

  NPD
• Carl B Toren MD

  • Non-Pharmacy Dispensing Site
  • Chicago, IL
  • NPI 1013957760
  NPD (past)
• Chicago Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1528390507
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1295397446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 W 76TH ST APT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521244",
            "telephone_number": "773-677-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173011",
            "telephone_number": "773-768-5000",
            "fax_number": "773-978-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLIE",
        "first_name": "JOAN",
        "middle_name": "ANNETTE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041260739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "OLLIE",
            "prefix": "MRS.",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacqueline Olivo, MD
• Marcin Olkowicz, MOTR/L
• Jacob Ollech, MD
• Grady Mahalia Oller, OD
• Ayesha Ollie, LSW
• Melissa Olloway
• Melissa Olmos, PT
• Abigail Kate Olmstead, MS, RD, LDN
• Sheila M Oloffsson, M.S., CCC-A
• Afusat T Olomada, NP

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.