Nina Rusiana, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209009024 Issued in IL

Practice address

200 E Roosevelt Rd
Villa Park, IL 60181-3500

Phone

(866) 825-3227

NPI assigned

Oct 12, 2011

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

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ab Dermatology LLCGroup PAC ID 4789906322, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.78 of 100Reported as group

Quality

87.26

Promoting interoperability

100

Improvement activities

40

Cost

58.68

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Ab Dermatology LLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1285043646
  Medicare reassignment Care Compare group NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD
• Aesthetic Dermatology Jonith Y Breadon MD LTD

  • Medical Specialty Clinic/Center
  • Chicago, IL
  • NPI 1225163967
  NPD (past)
• Des Plaines Dermatology, LTD.

  • Dermatology Physician
  • Des Plaines, IL
  • NPI 1902127194
  NPD (past)
• Proper Balance Healthcare

  • Clinic/Center
  • Chicago, IL
  • NPI 1548443088
  NPD (past)

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1376828194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON ST",
            "address_2": "EIGHT TOWER SUITE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROOSEVELT RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813500",
            "telephone_number": "866-825-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSIANA",
        "first_name": "NINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin M Roemer, OTR/L
• Benjamin Zidek Rosenblatt, LSW
• Katherine D. Roth
• Melissa Ruggirello, LCSW
• Stephanie Ruiz
• Brian J Russell, DC
• Mujahid Saeed, O.D.
• Andrea Marie Sagel, OTR/L
• Salt Creek SCH Dist 48
• Mohammed Samiruddin, M.D.

• Family Nurse Practitioner in Villa Park, IL
• Providers in Villa Park, 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 Oct 12, 2011; 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.