Individual provider Active NPI

Erin E Micklinghoff, CNP

  • Adult Health Nurse Practitioner
  • Lake Barrington, IL
National Provider Identifier
1356694335
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.009783 Issued in IL
Practice address
22285 N Pepper Rd Ste 311
Lake Barrington, IL 60010-2541
Phone
(847) 382-4410
Fax
(847) 382-4451
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.009783 IL Primary

Addresses

Primary practice location

22285 N Pepper Rd Ste 311
Lake Barrington, IL 60010-2541

Mailing address

22285 N Pepper Rd Ste 311
Lake Barrington, IL 60010-2541
Phone (847) 382-4410

Other names 1

  • Erin E Smith Former name

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
I20150617000182 IL Practitioner - Nurse Practitioner 2961713029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Partners of Illinois PLLCGroup PAC ID 2567758295, 38 clinicians

Practice addresses (Care Compare)

1880 W Winchester Rd
Suite 201
Libertyville, IL 60048-5336
Phone (630) 952-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.009783ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Partners of Illinois, PLLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

10350 Haligus Rd
Ste 210
Huntley, IL 60142
Phone (815) 356-5200

22285 N Pepper Rd
Ste 311
Lake Barrington, IL 60010
Phone (847) 382-4410

1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187

4309 W Medical Center Dr
Ste B100
McHenry, IL 60050
Phone (815) 363-0400

3703 Doty Rd
Unit 3
Woodstock, IL 60098
Phone (815) 206-0371

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 6

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1356694335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 311",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102541",
            "telephone_number": "847-382-4410",
            "fax_number": "847-382-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 311",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102541",
            "telephone_number": "847-382-4410",
            "fax_number": "847-382-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLINGHOFF",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.009783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SMITH",
            "middle_name": "E",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.