Individual provider Active NPI

Leigh Ann Ankeney, BSN, RN, APN, FNP-C

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1336707611
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019728 Issued in IL
Practice address
1106 Addleman St
Joliet, IL 60431-8764
Phone
(815) 530-0755
NPI assigned
Jun 3, 2019
Last updated
Sep 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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 209.019728 IL Primary

Addresses

Primary practice location

1106 Addleman St
Joliet, IL 60431-8764

Mailing address

1106 Addleman St
Joliet, IL 60431-8764
Phone (815) 530-0755

Other names 1

  • Ms. Leigh Ann Boquist Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ankeneyfamily@att.net Direct

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
I20200826003304 IL Practitioner - Nurse Practitioner 8224455969 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.019728ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Centers of Chicago LLC CurrentSince Jan 3, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 7, 2024 Accepting new patients
Pain Centers of Chicago LLC CurrentSince Jan 3, 2021 Accepting new patients

Locations

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1336707611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 ADDLEMAN ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318764",
            "telephone_number": "815-530-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ADDLEMAN ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318764",
            "telephone_number": "815-530-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKENEY",
        "first_name": "LEIGH ANN",
        "credential": "BSN, RN, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ankeneyfamily@att.net",
            "affiliation": "N",
            "endpointDescription": "Personal email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1106 Addleman St",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604318764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEIGH ANN",
            "last_name": "BOQUIST",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.