Individual provider Active NPI

Heather Duncan, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1386047769
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209002143 Issued in IL
Practice address
115 N Parkside Ave
Circle Family Health
Chicago, IL 60644-3040
Phone
(773) 921-9669
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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 209002143 IL Primary

Addresses

Primary practice location

115 N Parkside Ave
Circle Family Health
Chicago, IL 60644-3040

Mailing address

3225 W Foster Ave
School of Nursing North Park University
Chicago, IL 60625-4823
Phone (312) 316-3391

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
I20150505000031 IL Practitioner - Nurse Practitioner 2860711306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawndale Christian Health CenterGroup PAC ID 2264336346, 124 clinicians

Practice addresses (Care Compare)

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone (872) 588-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209002143ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawndale Christian Health Center Current Accepting new patients
Lawndale Christian Health Center CurrentSince Nov 17, 2014 Accepting new patients
Lawndale Christian Health Center CurrentSince Nov 17, 2014 Accepting new patients

Locations

4696 Paysphere Cir
Chicago, IL 60674

3860 W Ogden Ave
Chicago, IL 60623
Phone (872) 588-3000

Interoperability endpoints

  • Direct secure messaging: hduncan690743@direct.ochin.org

Organizations & group practices 3

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1386047769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 W FOSTER AVE",
            "address_2": "SCHOOL OF NURSING NORTH PARK UNIVERSITY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254823",
            "telephone_number": "312-316-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N PARKSIDE AVE",
            "address_2": "CIRCLE FAMILY HEALTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606443040",
            "telephone_number": "773-921-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "HEATHER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209002143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.