Individual provider Active NPI

Maria Elena Roux, RN WHNP BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1417189234
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
209007695 Issued in IL
Practice address
1721 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-5700
Phone
(847) 884-9800
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209007695 IL Primary

Addresses

Primary practice location

1721 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-5700

Mailing address

2801 Lakeside Dr Ste 209
Bannockburn, IL 60015-1200
Phone (475) 621-4108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220725003126 TX Practitioner - Nurse Practitioner 1456732296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2020 W State Hwy 114 320
Baylor Scott and White Family Med Ctr Riversi
Grapevine, TX 76051-8650
Phone (817) 912-8330

2020 W State Hwy 114 340
Baylor Scott and White
Grapevine, TX 76051-8650
Phone (214) 820-8350

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209007695ILMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 13, 2024 Accepting new patients
Midwest Center for Women's Health Care, LTD. CurrentSince Mar 22, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince May 13, 2024 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Stella Mattina Primary Care Inc PastSince Nov 10, 2024 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

1721 Moon Lake Blvd
Ste 100
Hoffman Estates, IL 60169
Phone (847) 884-9700

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

1631 Lancaster Dr
Ste 370
Grapevine, TX 76051
Phone (972) 596-3242

Interoperability endpoints

  • Direct secure messaging: mroux1301109@direct.sw.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1417189234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LAKESIDE DR STE 209",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151200",
            "telephone_number": "475-621-4108",
            "fax_number": "847-562-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MOON LAKE BLVD STE 100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695700",
            "telephone_number": "847-884-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUX",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "RN WHNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209007695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.