Individual provider Active NPI

Patricia Billingsley, RN, APN

  • Family Nurse Practitioner
  • Berwyn, IL
National Provider Identifier
1396389342
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022059 Issued in IL
Practice address
6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone
(708) 386-0845
NPI assigned
Nov 3, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 32

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.

View all 32

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCC Community Wellness Center 91 clinicians
Salud Family Health 75 clinicians

Practice addresses (Care Compare)

14 Lake St
Oak Park, IL 60302-2606
Phone 7083830113220005

1635 Blue Spruce Dr
Fort Collins, CO 80524-5427
Phone (970) 494-4040

5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone 7083830113220005

5425 W Lake St
Chicago, IL 60644-2342
Phone (773) 413-1920

5461 W Lake St
Chicago, IL 60644-2342
Phone 7083830113220005

6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone (708) 386-0845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20201215001467 IL Practitioner - Nurse Practitioner 4486066511 Reassigns benefits to 1 organization
I20260408003264 CO Practitioner - Nurse Practitioner 4486066511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.355942ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Nov 11, 2020 Accepting new patients
PCC Community Wellness Center CurrentSince Nov 11, 2020 Accepting new patients

Locations

6201 Roosevelt Rd
Berwyn, IL 60402
Phone (708) 386-0845

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: patricia.billingsley.1@13158.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.355942 IL
Family Nurse Practitioner 363LF0000X 209022059 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

6201 Roosevelt Rd
Berwyn, IL 60402-1108

Mailing address

27W084 Walnut Dr
Winfield, IL 60190-2015
Phone (630) 752-1738

Other practice location 1

27W084 Walnut Dr
Winfield, IL 60190-2015
Phone (630) 752-1738

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2020.

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1396389342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W084 WALNUT DR",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902015",
            "telephone_number": "630-752-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021108",
            "telephone_number": "708-386-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27W084 Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601902015",
            "country_code": "US",
            "telephone_number": "630-752-1738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "PATRICIA",
        "credential": "RN, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.355942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.