Individual provider Active NPI

Valencia Faulkner

  • Family Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1306182753
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010064 Issued in IL
Practice address
400 N Highland Ave
Aurora, IL 60506-3814
Phone
(630) 978-2532
Fax
(630) 978-2709
NPI assigned
Dec 12, 2012
Last updated
Dec 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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 209010064 IL Primary

Addresses

Primary practice location

400 N Highland Ave
Aurora, IL 60506-3814

Mailing address

400 N Highland Ave
Aurora, IL 60506-3814
Phone (630) 978-2532

Other names 1

  • Valencia Woods Former name

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
I20151110001737 IL Practitioner - Nurse Practitioner 2769622539 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical Illinois PLLCGroup PAC ID 5799129730, 30 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

303 E Washington St
Bensenville, IL 60106-3515
Phone (775) 287-3290

901 N 10TH St
Mascoutah, IL 62258-1017
Phone (877) 883-9430

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Family CurrentSince Oct 28, 2015 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Sep 2, 2021 Accepting new patients
Radial Health SC CurrentSince Sep 20, 2017 Accepting new patients
Rehabilitation Specialists of Illinois LLC CurrentSince Dec 1, 2021 Accepting new patients
Yorkville Internists, S.C. CurrentSince May 1, 2021 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Jan 6, 2024 Accepting new patients
Post Acute Medical PLLC CurrentSince Nov 26, 2023 Accepting new patients
Chicagoland Infectious Disease PC CurrentSince Dec 5, 2022 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2720 E New York St
Ste 108
Aurora, IL 60502
Phone (630) 820-7045

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

26895 Network Pl
Chicago, IL 60673

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1101 E State St
Geneva, IL 60134
Phone (630) 232-7544

17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100

222 N Hammes Ave
Joliet, IL 60435
Phone (518) 725-0443

301 Springfield Ave
Uppr
Joliet, IL 60435
Phone (815) 630-5119

901 N 10th St
Mascoutah, IL 62258
Phone (618) 556-2183

430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

727 N 17th St
Swansea, IL 62226
Phone (618) 234-3323

Organizations & group practices 9

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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1306182753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "630-978-2532",
            "fax_number": "630-978-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "630-978-2532",
            "fax_number": "630-978-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "VALENCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALENCIA",
            "last_name": "WOODS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.