Active NPI
Emelia Baasiwah Appiagyei
- Primary Care Nurse Practitioner
- Hoffman Estates, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209012011
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041319982 | Medicaid | IL |
Other names 1
- Michael O Appiagyei
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Healthclinics, SC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.