Individual provider Active NPI

Adrienne Wojcik Moroni, DNP

  • Family Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1407205305
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041395969 Issued in IL
Practice address
7100 Hospital Dr
Dublin, OH 43016-8463
Phone
(614) 339-0467
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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 041395969 IL Primary

Addresses

Primary practice location

7100 Hospital Dr
Dublin, OH 43016-8463

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

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
I20231213002467 IL Practitioner - Nurse Practitioner 8325327653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

7425 Barrington Rd
Hanover Park, IL 60133-2241
Phone (630) 823-0392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041395969ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

800 W Fulton Market
Fl 12
Chicago, IL 60607

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

6140 N Broadway St
Chicago, IL 60660
Phone (224) 795-3521

515 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-7882

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

7425 Barrington Rd
Hanover Park, IL 60133
Phone (630) 823-0392

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

Interoperability endpoints

  • Direct secure messaging: adrienne.moroni@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1407205305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 HOSPITAL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168463",
            "telephone_number": "614-339-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORONI",
        "first_name": "ADRIENNE",
        "middle_name": "WOJCIK",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041395969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.