Individual provider Active NPI

David Becker, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1336183276
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704269668 Issued in MI
Practice address
1721 Moon Lake Blvd
St.E 150
Hoffman Estates, IL 60169-1069
Phone
(847) 519-3651
Fax
(847) 519-3652
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704269668 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025029147 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704269668 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0041077 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 235101 AR

Addresses

Primary practice location

1721 Moon Lake Blvd
St.E 150
Hoffman Estates, IL 60169-1069

Mailing address

411 College Ave SE
Grand Rapids, MI 49503-5301
Phone (860) 608-5848

Other practice location 1

1320 N Michigan Ave Ste 5
Saginaw, MI 48602-4751
Phone (898) 401-9015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260302003272 OH Order and Referring Only - Nurse Practitioner 0547264996

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
57.96 of 100Reported as group
Quality
21.71
Promoting interoperability
12
Improvement activities
40
Cost
78.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704269668MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Physician Services PC Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.becker.1@33202.direct.athenahealth.com
  • Direct secure messaging: ms_dbecke21@landmarkhealth-direct.org

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1336183276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COLLEGE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035301",
            "telephone_number": "860-608-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MOON LAKE BLVD",
            "address_2": "ST.E 150",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691069",
            "telephone_number": "847-519-3651",
            "fax_number": "847-519-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 N Michigan Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024751",
            "country_code": "US",
            "telephone_number": "898-401-9015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "DAVID",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704269668",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025029147",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704269668",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0041077",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "235101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.