Active NPI
Meredith Brackett
- Physician Assistant
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.006993
- Practice address
- 333 E Webster Ave
Elmhurst, IL 60126-3636 - Phone
- (630) 542-9243
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003566A | IN | |
| Physician Assistant | 363A00000X | 085.006993 | IL | Primary |
Addresses
Primary practice location
333 E Webster Ave
Elmhurst, IL 60126-3636
Mailing address
333 E Webster Ave
Elmhurst, IL 60126-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 Waukegan Rd
Bannockburn, IL 60015-1836
2401 Ravine Way
Glenview, IL 60025-7645
2600 Compass Rd
Glenview, IL 60026-8001
4700 Gilbert Ave
Suite 51
Western Springs, IL 60558-1664
Phone (708) 387-1750
521 Green Bay Rd
Wilmette, IL 60091-2726
Phone (847) 996-5680
9000 Waukegan Rd
Morton Grove, IL 60053-2127
Phone (847) 213-5444
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.006993 | IL | MD | Physician Assistant |
| 10003566A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1300 E Central Rd
Arlington Hts, IL 60005
Phone (847) 255-5036
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
900 Rand Rd
Ste 200
Des Plaines, IL 60016
Phone (847) 324-3978
2401 Ravine Way
Ste 200
Glenview, IL 60025
Phone (847) 998-5680
2401 Ravine Way
Ste 103
Glenview, IL 60025
Phone (847) 832-6006
550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116
951 Essington Rd
Joliet, IL 60435
Phone (815) 744-4551
9000 Waukegan Rd
Ste 200
Morton Grove, IL 60053
250 S Northwest Hwy
Ste 100
Park Ridge, IL 60068
Phone (773) 631-7898
4700 Gilbert Ave
Ste 51
Western Springs, IL 60558
Phone (708) 387-1737
521 Green Bay Rd
Fl 2
Wilmette, IL 60091
Phone (847) 724-4864
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Emergency Medicine Physician
- Goshen, IN
- NPI 1154125698
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1407326382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E WEBSTER AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E WEBSTER AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263636",
"telephone_number": "630-542-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKETT",
"first_name": "MEREDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003566A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.006993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.