Individual provider Active NPI

Tangee Ximena Moscoso, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Streamwood, IL
National Provider Identifier
1316340789
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209011948 Issued in IL
Practice address
10 Monarch Dr Unit B
Streamwood, IL 60107-4521
Phone
(224) 366-7537
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209011948 IL Primary

Addresses

Primary practice location

10 Monarch Dr Unit B
Streamwood, IL 60107-4521

Mailing address

10 Monarch Dr Unit B
Streamwood, IL 60107-4521
Phone (224) 366-7537

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
I20150623000800 IL Practitioner - Nurse Practitioner 3779808779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Monarch Dr
Unit B
Streamwood, IL 60107-4521
Phone (630) 398-6111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209011948ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychiatry and Counseling, PC CurrentSince Apr 15, 2019 Accepting new patients
Holistic Mental Health Wellness Inc Psychiatric/Mental Health CurrentSince Mar 20, 2020 Accepting new patients

Locations

1710 N Randall Rd
Ste 100
Elgin, IL 60123
Phone (312) 961-9974

2050 Larkin Ave
Ste 202
Elgin, IL 60123
Phone (708) 697-2400

Organizations & group practices 2

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1316340789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MONARCH DR UNIT B",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074521",
            "telephone_number": "224-366-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MONARCH DR UNIT B",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074521",
            "telephone_number": "224-366-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOSO",
        "first_name": "TANGEE",
        "middle_name": "XIMENA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209011948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

Verify at the official NPI Registry.