Individual provider Active NPI

Emelia Baasiwah Appiagyei

  • Primary Care Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1306240841
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209012011 Issued in IL
Practice address
1585 Barrington Rd Ste 505
Hoffman Estates, IL 60169-5020
Phone
(847) 278-7633
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209012011 IL Primary

Addresses

Primary practice location

1585 Barrington Rd Ste 505
Hoffman Estates, IL 60169-5020

Mailing address

1585 Barrington Rd Ste 505
Hoffman Estates, IL 60169-5020
Phone (847) 278-7633

Other practice location 1

1243 W 79th St
Chicago, IL 60620-3709
Phone (773) 488-0844

Other identifiers 1

IdentifierTypeStateIssuer
041319982MedicaidIL

Other names 1

  • Michael O Appiagyei 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
I20151224000156 IL Practitioner - Nurse Practitioner 1759682313 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Healthclinics, SC CurrentSince Nov 21, 2015 Accepting new patients

Locations

1243 W 79th St
Chicago, IL 60620
Phone (312) 791-2940

1585 N Barrington Rd
Ste 505
Hoffman Estates, IL 60169
Phone (847) 255-1818

1585 N Barrington Rd
Ste 201
Hoffman Estates, IL 60169
Phone (847) 278-7633

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1306240841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD STE 505",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695020",
            "telephone_number": "847-278-7633",
            "fax_number": "773-994-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD STE 505",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695020",
            "telephone_number": "847-278-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1243 W 79th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606203709",
            "country_code": "US",
            "telephone_number": "773-488-0844",
            "fax_number": "773-994-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPIAGYEI",
        "first_name": "EMELIA",
        "middle_name": "BAASIWAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209012011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041319982",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "APPIAGYEI",
            "middle_name": "O",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.