Individual provider Active NPI

Arielle Marina McComb, FNP-C

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1407569452
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026570 Issued in IL
Practice address
373 Summit St
Elgin, IL 60120-3733
Phone
(888) 331-6125
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09220765 IL
Family Nurse Practitioner 363LF0000X 209026570 IL Primary

Addresses

Primary practice location

373 Summit St
Elgin, IL 60120-3733

Mailing address

373 Summit St
Elgin, IL 60120-3733

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
I20230629003349 IL Order and Referring Only - Nurse Practitioner 7012376650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026570ILMDFamily Nurse Practitioner
F09220765ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Family Health Past Accepting new patients
Greater Family Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marina.arielle.p1@direct.gefcc.nextgenshare.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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1407569452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203733",
            "telephone_number": "888-331-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "ARIELLE",
        "middle_name": "MARINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F09220765",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.