Individual provider Active NPI

Elizabeth Drumm

  • Family Nurse Practitioner
  • La Grange Highlands, IL
National Provider Identifier
1336579986
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010959 Issued in IL
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

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 19 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
209010959ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Lagrange SC CurrentSince Nov 1, 2018 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.

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

Verify at the official NPI Registry.