Individual provider Active NPI

Elizabeth Moore, FNP-C

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1336717412
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021298 Issued in IL
Practice address
1365 Wiley Rd
Schaumburg, IL 60173-4382
Phone
(847) 519-4701
Fax
(847) 519-4707
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209021298 IL
Family Nurse Practitioner 363LF0000X 209021298 IL Primary

Addresses

Primary practice location

1365 Wiley Rd
Schaumburg, IL 60173-4382

Mailing address

3800 Highland Ave Ste 102
Downers Grove, IL 60515-1559
Phone (847) 519-4701

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
I20220207000695 IL Practitioner - Nurse Practitioner 8527451061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Pain Specialists LLCGroup PAC ID 4082782230, 6 clinicians

Practice addresses (Care Compare)

1365 Wiley Rd
Suite 153
Schaumburg, IL 60173-4357
Phone (847) 519-4701

Hospital & facility affiliations

  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054

Merit-based Incentive Payment System (MIPS)

Final score
66.79 of 100Reported as group
Quality
24.52
Promoting interoperability
96
Improvement activities
40
Cost
65.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Specialists LLC CurrentSince Sep 3, 2024 Accepting new patients

Locations

3800 Highland Ave
Ste 102
Downers Grove, IL 60515
Phone (630) 810-9966

1365 Wiley Rd
Schaumburg, IL 60173

1365 Wiley Rd
Ste 153
Schaumburg, IL 60173

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFFFCA/Endpoint/BFFFCA

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1336717412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE STE 102",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151559",
            "telephone_number": "847-519-4701",
            "fax_number": "847-519-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734382",
            "telephone_number": "847-519-4701",
            "fax_number": "847-519-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021298",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.