Individual provider Active NPI

Zimuzo Crystal Nelson, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1356817175
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018250 Issued in IL
Practice address
2331 W Chicago Ave
Chicago, IL 60622-4723
Phone
(773) 772-7858
NPI assigned
Oct 18, 2018
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 209018250 IL Primary

Addresses

Primary practice location

2331 W Chicago Ave
Chicago, IL 60622-4723

Mailing address

PO Box 3603
Oak Brook, IL 60522-3603
Phone (773) 772-7858

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
I20190402000723 IL Practitioner - Nurse Practitioner 3476894452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

5130 W Jackson Blvd
Chicago, IL 60644-4332
Phone (773) 921-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209018250ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TJ Siddiqui Inc CurrentSince Apr 15, 2022 Accepting new patients
CMC Healthcare LLC CurrentSince Jul 5, 2025 Accepting new patients
Humboldt Park Health PastSince Mar 18, 2019 Accepting new patients

Locations

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

5130 W Jackson Blvd
Chicago, IL 60644
Phone (773) 287-1429

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

19330 S Cottage Grove Ave
Glenwood, IL 60425
Phone (708) 758-6200

Organizations & group practices 3

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1356817175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223603",
            "telephone_number": "773-772-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "773-772-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ZIMUZO",
        "middle_name": "CRYSTAL",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.