Active NPI
Elizabeth Drumm
- Family Nurse Practitioner
- La Grange Highlands, IL
National Provider Identifier
1336579986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209010959
- Practice address
- 5201 Willow Springs Rd Ste 430
La Grange Highlands, IL 60525-6538 - Phone
- (781) 744-5115
- Fax
- (781) 744-5687
- NPI assigned
- Nov 18, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010959 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd Ste 430
La Grange Highlands, IL 60525-6538
Mailing address
5201 Willow Springs Rd Ste 430
La Grange Highlands, IL 60525-6538
Phone (708) 482-3213
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140206001636 | IL | Practitioner - Nurse Practitioner | 6204065550 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology Associates of Lagrange SC
Practice addresses (Care Compare)
5201 Willow Springs Rd
Suite 430
La Grange Highlands, IL 60525-6538
Phone (708) 482-3213
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.78 of 100
- Quality
- 87.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010959 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of Lagrange SC | Current | Accepting new patients |
Locations
5201 Willow Springs Rd
Ste 430
La Grange Highlands, IL 60525
Phone (708) 482-3213
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.
-
- Dermatology Physician
- La Grange Highlands, IL
- NPI 1780795856
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1336579986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 430",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256538",
"telephone_number": "708-482-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 430",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256538",
"telephone_number": "781-744-5115",
"fax_number": "781-744-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMM",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-18",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.