Active NPI
David Becker, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hoffman Estates, IL
National Provider Identifier
1336183276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704269668
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302003272 | OH | Order and Referring Only - Nurse Practitioner | 0547264996 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 57.96 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704269668 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Physician Services PC | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- david.becker.1@33202.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1164404117
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.