Active NPI
Taylor Rogers
- Nurse Practitioner
- Berwyn, IL
National Provider Identifier
1376389593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.031043
- Practice address
- 6840 W Windsor Ave
Berwyn, IL 60402-3486 - Phone
- (708) 484-0042
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.031043 | IL | Primary |
| Registered Nurse | 163W00000X | 04145647 | IL |
Addresses
Primary practice location
6840 W Windsor Ave
Berwyn, IL 60402-3486
Mailing address
1642 N Artesian Ave Apt 2
Chicago, IL 60647-5309
Phone (317) 670-1619
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
- Rush Medical College of Rush University, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6840 W Windsor Ave
Berwyn, IL 60402-3441
Phone (708) 484-0042
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Macneal Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04145647 | IL | MD | Registered Nurse |
| 209.031043 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Associates LTD | Current | Accepting new patients |
Locations
6840 W Windsor Ave
Berwyn, IL 60402
Phone (708) 484-0042
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.
-
- Family Medicine Physician
- Berwyn, IL
- NPI 1588731764
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1376389593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 N ARTESIAN AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475309",
"telephone_number": "317-670-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 W WINDSOR AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023486",
"telephone_number": "708-484-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.031043",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "04145647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.