Individual provider Active NPI

Gulbahar Asranova, FNP

  • Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1417672585
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.026135 Issued in IL
Practice address
1555 Barrington Rd BLDG 1
Hoffman Estates, IL 60169-1099
Phone
(847) 490-6930
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.026135 IL Primary

Addresses

Primary practice location

1555 Barrington Rd BLDG 1
Hoffman Estates, IL 60169-1099

Mailing address

1410 Lake Edge CT
Hoffman Estates, IL 60192-1319
Phone (773) 744-2177

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
I20230119003285 IL Practitioner - Nurse Practitioner 7719358217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.026135ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP CurrentSince Jan 5, 2023 Accepting new patients
Cep America - Illinois, LLP CurrentSince Jan 5, 2023 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1555 N Barrington Rd
Bldg 1
Hoffman Estates, IL 60169
Phone (224) 299-4222

1555 N Barrington Rd
Ste 410
Hoffman Estates, IL 60169
Phone (847) 781-1894

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1417672585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAKE EDGE CT",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921319",
            "telephone_number": "773-744-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD BLDG 1",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691099",
            "telephone_number": "847-490-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASRANOVA",
        "first_name": "GULBAHAR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.026135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.