Active NPI
Melissa Ewert Ortega, APN
- Family Nurse Practitioner
- Bradley, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209017280
- Practice address
- 990 N Kinzie Ave
Bradley, IL 60915-1233 - Phone
- (815) 935-7256
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209017280 | IL | Primary |
Addresses
Primary practice location
990 N Kinzie Ave
Bradley, IL 60915-1233
Mailing address
401 N Wall St Ste 208
Kankakee, IL 60901-2949
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 W Superior St
FL 2
Chicago, IL 60622-5646
Phone (312) 666-3494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Erie Family Health Center Inc. | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients |
Locations
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
1504 S Albany Ave
Chicago, IL 60623
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392
1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122
401 N Wall St
Ste 208
Kankakee, IL 60901
Phone (815) 935-1161
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- mortega707413@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1215228192
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1407357148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N WALL ST STE 208",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 N KINZIE AVE",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609151233",
"telephone_number": "815-935-7256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "MELISSA",
"middle_name": "EWERT",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209017280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.