Active NPI
Zimuzo Crystal Nelson, FNP-C
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018250
- Practice address
- 2331 W Chicago Ave
Chicago, IL 60622-4723 - Phone
- (773) 772-7858
- NPI assigned
- Oct 18, 2018
- Last updated
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209018250 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJ Siddiqui Inc | Current | Accepting new patients | |
| CMC Healthcare LLC | Current | Accepting new patients | |
| Humboldt Park Health | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.