Active NPI
Lauren Smith, FNP
- Nurse Practitioner
- Oak Lawn, IL
National Provider Identifier
1306331830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.018168
- Practice address
- 9921 Southwest Hwy
Oak Lawn, IL 60453-3754 - Phone
- (708) 425-9456
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.366613 | IL | |
| Nurse Practitioner | 363L00000X | 209.018168 | IL | Primary |
Addresses
Primary practice location
9921 Southwest Hwy
Oak Lawn, IL 60453-3754
Mailing address
9921 Southwest Hwy
Oak Lawn, IL 60453-3754
Phone (708) 425-9456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041.366613 | Other | IL | LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9921 Southwest Hwy
Oak Lawn, IL 60453-3767
Phone (708) 425-9456
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.366613 | IL | MD | Registered Nurse |
| 209.018168 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients |
Locations
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
9921 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 425-2552
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1306331830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9921 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533754",
"telephone_number": "708-425-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9921 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533754",
"telephone_number": "708-425-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LAUREN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.366613",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.018168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "041.366613",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.
- 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.