Individual provider Active NPI

Laura Elizabeth Maier

  • Psychiatric/Mental Health Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1366159394
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209025850 Issued in IL
Practice address
2130 Point Blvd Ste 200
Elgin, IL 60123-9208
Phone
(847) 783-0307
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209025850 IL Primary

Addresses

Primary practice location

2130 Point Blvd Ste 200
Elgin, IL 60123-9208

Mailing address

1915 Brentwood LN
McHenry, IL 60050-8118
Phone (847) 220-3482

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
I20230320000612 IL Practitioner - Nurse Practitioner 8729452578 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
Telehealth
Offers telehealth services
Group practices
Fareha N. Malik, M.D. LLCGroup PAC ID 5193863587, 13 clinicians

Practice addresses (Care Compare)

2130 Point Blvd
Suite 200
Elgin, IL 60123-9208
Phone (847) 783-0307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209025850ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fareha N. Malik, M.D. LLC CurrentSince Mar 1, 2023 Accepting new patients
Advanced Psychiatry of Elgin PastSince Nov 6, 2022 Accepting new patients

Locations

2130 Point Blvd
Ste 200
Elgin, IL 60123
Phone (847) 783-0307

Organizations & group practices 2

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1366159394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 BRENTWOOD LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508118",
            "telephone_number": "847-220-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 POINT BLVD STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239208",
            "telephone_number": "847-783-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIER",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209025850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.