Individual provider Active NPI

Roxana Mihaela Citu

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1356031199
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03230513 Issued in IL
Practice address
10015 Beverly Dr Apt 303
Skokie, IL 60076-1058
Phone
(312) 671-2208
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 F03230513 IL Primary

Addresses

Primary practice location

10015 Beverly Dr Apt 303
Skokie, IL 60076-1058

Mailing address

4711 Golf Rd Ste 900
Skokie, IL 60076-1247
Phone (312) 671-2208

Other practice location 1

1900 Hollister Dr Ste 210
Libertyville, IL 60048-5284
Phone (847) 324-6800

Other practice location 2

4711 Golf Rd Ste 900
Skokie, IL 60076-1247
Phone (312) 671-2208

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
I20240528002123 IL Practitioner - Nurse Practitioner 1658713292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfuse Illinois PLLCGroup PAC ID 7113369745, 2 clinicians

Practice addresses (Care Compare)

1900 Hollister Dr
Suite 210
Libertyville, IL 60048-5284
Phone (847) 324-6800

4711 Golf Rd
Suite 900
Skokie, IL 60076-1247
Phone (208) 640-6096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03230513ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medfuse Illinois PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1900 Hollister Dr
Ste 210
Libertyville, IL 60048
Phone (847) 324-6800

1900 Hollister Dr
Libertyville, IL 60048
Phone (847) 367-1760

4711 Golf Rd
Ste 900
Skokie, IL 60076
Phone (443) 414-8201

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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1356031199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761247",
            "telephone_number": "312-671-2208",
            "fax_number": "224-251-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 BEVERLY DR APT 303",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761058",
            "telephone_number": "312-671-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Hollister Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485284",
            "country_code": "US",
            "telephone_number": "847-324-6800",
            "fax_number": "847-324-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4711 Golf Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761247",
            "country_code": "US",
            "telephone_number": "312-671-2208",
            "fax_number": "224-251-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CITU",
        "first_name": "ROXANA",
        "middle_name": "MIHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F03230513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.