Individual provider Active NPI

Hannah Kim

  • Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1427741115
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.031021 Issued in IL
Practice address
1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186
Phone
(443) 383-9300
NPI assigned
May 30, 2023
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.031021 IL Primary
Nurse Practitioner 363L00000X SP027091 PA

Addresses

Primary practice location

1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (443) 383-9300

Other practice location 1

507 Kimberton Rd
Phoenixville, PA 19460-4745
Phone (610) 851-4461

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
I20250109001162 IL Practitioner - Nurse Practitioner 3173977642 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.031021ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Dec 23, 2024 Accepting new patients

Locations

2020 Calamos Ct
Ste 250
Naperville, IL 60563

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1427741115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 800",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953186",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Kimberton Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194604745",
            "country_code": "US",
            "telephone_number": "610-851-4461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.031021",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.