Individual provider Active NPI

Gosia Weis

  • Family Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1295436780
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026879 Issued in IL
Practice address
350 S Northwest Hwy Suite 106
Park Ridge, IL 60068-4262
Phone
(847) 470-1500
Fax
(847) 470-1550
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 209.026879 IL Primary

Addresses

Primary practice location

350 S Northwest Hwy Suite 106
Park Ridge, IL 60068-4262

Mailing address

350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262
Phone (847) 470-1500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gosiaweis@uropart.allscriptsdirect.net

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
I20230405002933 IL Practitioner - Nurse Practitioner 4789059643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

350 S Northwest Hwy
Suite 106
Park Ridge, IL 60068-4262
Phone (847) 470-1500

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.026879ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners, LLC CurrentSince Mar 13, 2023 Accepting new patients
Uropartners LLC Current Accepting new patients
Uropartners, LLC CurrentSince Mar 13, 2023 Accepting new patients
Uropartners, LLC Current Accepting new patients
Uropartners, LLC Current Accepting new patients

Locations

7447 W Talcott Ave
Ste 509
Chicago, IL 60631
Phone (773) 775-0800

2600 Patriot Blvd
Ste J
Glenview, IL 60026
Phone (224) 260-3100

350 S Northwest Hwy
Ste 106
Park Ridge, IL 60068
Phone (847) 470-1500

Interoperability endpoints

  • Direct secure messaging: gosiaweis@uropart.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1295436780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 106",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-470-1500",
            "fax_number": "847-470-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY SUITE 106",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-470-1500",
            "fax_number": "847-470-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "GOSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gosiaweis@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "350 S Northwest Hwy Suite 106",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600684262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.