Individual provider Active NPI

Elsie-Linda Nketia

  • Family Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1376911461
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2090123010 Issued in IL
Practice address
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone
(331) 221-1000
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2090123010 IL Primary

Addresses

Primary practice location

155 E Brush Hill Rd
Elmhurst, IL 60126-5658

Mailing address

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address enketia50910@direct.edward.org Direct

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
I20151120002598 IL Practitioner - Nurse Practitioner 8123328226 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2090123010ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Nov 1, 2023 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Oct 2, 2015 Accepting new patients
Edward Health Ventures CurrentSince Nov 10, 2022 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Oct 2, 2015 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Edward Health Ventures CurrentSince Nov 10, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 14, 2023 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

420 W Butterfield Rd
Elmhurst, IL 60126
Phone (630) 832-2300

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 7

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1376911461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKETIA",
        "first_name": "ELSIE-LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2090123010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enketia50910@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 E Brush Hill Rd",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.