Raleigh Guerrero, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.026122 Issued in IL

Practice address

1189 N Gary Ave
Carol Stream, IL 60188-9423

Phone

(630) 517-5674

NPI assigned

Oct 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raleigh Kernan Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodyworks Medical Center PLLCGroup PAC ID 6507110905, 4 clinicians

Bodyworks Medical Center of West Dundee PLLCGroup PAC ID 2769824366, 3 clinicians

Bodyworks Medical Center of Geneva PLLCGroup PAC ID 0345657284, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bodyworks Medical Center of Geneva PLLC

  • General Practice Physician
  • Saint Charles, IL
  • NPI 1801485610
  Medicare reassignment Care Compare group NPD
• Bodyworks Medical Center of West Dundee PLLC

  • General Practice Physician
  • West Dundee, IL
  • NPI 1881458115
  Medicare reassignment Care Compare group NPD
• Bodyworks Medical Center PLLC

  • General Practice Physician
  • Carol Stream, IL
  • NPI 1144700105
  Medicare reassignment Care Compare group NPD
• Platinum Medical PLLC

  • General Practice Physician
  • Carol Stream, IL
  • NPI 1710575444
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1376268771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889423",
            "telephone_number": "630-517-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889423",
            "telephone_number": "630-517-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "RALEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALEIGH",
            "last_name": "KERNAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Georgia Margaret Grawe X, MFA, ATR
• Melanie E Green Fager, MA, CCC-SLP/L
• Aldwin Gregorio, PT
• Kendall David Gregory, D.C.
• Rebekah Grimm, PT, DPT
• Gabriella Guillen
• Leslie R. Gunter, LCSW
• Akshay A Gupta, MS,MA,OTR/L
• Julie T Hagel, OT
• Jeffrey J Handel, DDS

• Family Nurse Practitioner in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.

Verify at the official NPI Registry.