Active NPI
Danielle Kraessig, CNM
- Advanced Practice Midwife
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209-003008
- Practice address
- 6201 Roosevelt Rd
Berwyn, IL 60402-1108 - Phone
- (708) 386-0845
- Fax
- (708) 386-8472
- NPI assigned
- Mar 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 209-003008 | IL | Primary |
Addresses
Primary practice location
6201 Roosevelt Rd
Berwyn, IL 60402-1108
Mailing address
6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone (708) 386-0845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209-003008 | Medicaid | IL |
Other names 1
- Danielle De Saint Victor
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Board of Trustees of the University of Illinois
Practice addresses (Care Compare)
820 S Wood St
Chicago, IL 60612-4325
Phone (312) 355-6245
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-003008 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
6201 Roosevelt Rd
Berwyn, IL 60402
Phone (708) 386-0845
5525 S Pulaski Rd
Chicago, IL 60629
Phone (773) 432-0100
1309 S Halsted St
Chicago, IL 60607
Phone (312) 413-3000
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
820 S Wood St
Chicago, IL 60612
Phone (312) 996-6765
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700
722 W Maxwell St
Chicago, IL 60607
Phone (312) 996-2901
14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113
Interoperability endpoints
- dkraessig17197@uihealth.direct-ci.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1154541936
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba PCC Austin Dental & Specialty Care Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba University of Illinois Medical Center at Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
-
dba Medical Service Plan at Peoria
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Illinois Hospital and Clinics
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1306962121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 ROOSEVELT RD",
"city": "BERWYN",
"state": "IL",
"postal_code": "604021108",
"telephone_number": "708-386-0845",
"fax_number": "708-386-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 ROOSEVELT RD",
"city": "BERWYN",
"state": "IL",
"postal_code": "604021108",
"telephone_number": "708-386-0845",
"fax_number": "708-386-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAESSIG",
"first_name": "DANIELLE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209-003008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209-003008",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "DE SAINT VICTOR",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.