Individual provider Active NPI

Andrea Tiffany Parrott, CNP

  • Family Nurse Practitioner
  • Glen Ellyn, IL
National Provider Identifier
1356514343
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.007052 Issued in IL
Practice address
885 Roosevelt Rd Ste 101
Glen Ellyn, IL 60137-6141
Phone
(630) 384-6200
Fax
(630) 384-6229
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 209.007052 IL Primary

Addresses

Primary practice location

885 Roosevelt Rd Ste 101
Glen Ellyn, IL 60137-6141

Mailing address

885 Roosevelt Rd Ste 101
Glen Ellyn, IL 60137-6141
Phone (630) 384-6200

Other practice location 1

25 N Winfield Rd.
Winfield, IL 60190
Phone (630) 933-1600

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
I20080714000428 IL Practitioner - Nurse Practitioner 2163595885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1001 Commerce Dr
Oak Brook, IL 60523-8865

15300 W Ave
Orland Park, IL 60462-4600

21202 Owens Rd
Suite 101
Mokena, IL 60448-2001
Phone (630) 315-6930

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414

235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600

2635 Church Rd
Suite 101
Aurora, IL 60502-8943
Phone (630) 315-6900

2900 Foxfield Rd
Suite 100
St Charles, IL 60174-5799
Phone (630) 377-6500

636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

7 Blanchard Cir
Wheaton, IL 60189-2038

820 Route 59
Barlett, IL 60103-1694
Phone (630) 213-9600

820 S Il Route 59
Suite 320
Bartlett, IL 60103-1694
Phone (630) 225-2663

885 Roosevelt Rd
Glen Ellyn, IL 60137-6141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.007052ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Jul 6, 2011 Accepting new patients
Central Dupage Hospital Association CurrentSince Jul 6, 2011 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900

231 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 893-9600

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

4732 N Lincoln Ave
Chicago, IL 60625
Phone (312) 926-0536

4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

885 Roosevelt Rd
Ste 101
Glen Ellyn, IL 60137
Phone (630) 315-6151

885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030

636 Raymond Dr
Ste 107
Naperville, IL 60563
Phone (630) 359-8396

1001 Commerce Dr
Ste 105
Oak Brook, IL 60523

2900 Foxfield Rd
Ste 100
St Charles, IL 60174
Phone (630) 377-6500

1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252

7 Blanchard Cir
Ste 102
Wheaton, IL 60189
Phone (630) 510-9009

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 6

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1356514343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 ROOSEVELT RD STE 101",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376141",
            "telephone_number": "630-384-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 ROOSEVELT RD STE 101",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376141",
            "telephone_number": "630-384-6200",
            "fax_number": "630-384-6229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd.",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "60190",
            "country_code": "US",
            "telephone_number": "630-933-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARROTT",
        "first_name": "ANDREA",
        "middle_name": "TIFFANY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.007052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.