Terrah Koppie Gavrilos, APN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209015215 Issued in IL

Practice address

571 N Rand Rd
Lake Zurich, IL 60047-3134

Phone

(224) 415-2044

Fax

(847) 748-0277

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Skin Deep Health LLC

  • Nurse Practitioner
  • Lake Zurich, IL
  • NPI 1679453948
  Medicare reassignment NPD Authorized official
• Northshore Dermatology Center SC

  • Dermatology Physician
  • Lake Bluff, IL
  • NPI 1841315884
  Medicare reassignment NPD
• Northwestern Medical Faculty Foundation

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  Medicare reassignment
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984
  NPD

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1396250346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 N RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473134",
            "telephone_number": "229-415-1203",
            "fax_number": "847-748-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 N RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473134",
            "telephone_number": "224-415-2044",
            "fax_number": "847-748-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRILOS",
        "first_name": "TERRAH",
        "middle_name": "KOPPIE",
        "name_prefix": "Mrs.",
        "credential": "APN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015215",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209015215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN CONTROLLED SUBSTANCE",
            "identifier": "309010634",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "209105215",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "041374819",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396250346",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Franklin, PSYD, MA, JD
• Lisa Ann Freeman
• Kirsten Galayda, DDS
• Lisa Marie Gandor, OT
• Lilly Garibay
• Geoffrey Geller, OD
• Get Psyched Wellness PLLC
• Jacqueline Getty, DPT
• Angela Marie Glavach, COTA/L
• Paul Godlewski

• Family Nurse Practitioner in Lake Zurich, IL
• Providers in Lake Zurich, 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 Nov 19, 2025; 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.