Individual provider Active NPI

Leilani Gruezo Luell, NP

  • Nurse Practitioner
  • Burlington, WI
National Provider Identifier
1437616836
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8918 Issued in WI
Practice address
248 McHenry St
Burlington, WI 53105-1828
Phone
(262) 767-8000
Fax
(262) 767-8190
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 8918 WI Primary
Nurse Practitioner 363L00000X 209018826 IL

Addresses

Primary practice location

248 McHenry St
Burlington, WI 53105-1828

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

10256 Old Green Bay Rd Ste 200
Pleasant Prairie, WI 53158-2814
Phone (262) 551-4300

Other practice location 2

9977 Woods Dr
Skokie, IL 60077-1057
Phone (224) 364-2273

Other practice location 3

9697 Saint Catherines Dr Ste 101
Pleasant Prairie, WI 53158-2118
Phone (262) 653-5330

Other identifiers 1

IdentifierTypeStateIssuer
100095922MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address lluell441600@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190318001222 IL Practitioner - Nurse Practitioner 8628318292 Reassigns benefits to 3 organizations
I20191224000253 WI Practitioner - Nurse Practitioner 8628318292 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Phone (262) 551-4200

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-4270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8918WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Nov 1, 2025 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Nov 1, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 22, 2019 Accepting new patients
Rush University Medical Group CurrentSince Aug 7, 2023 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Nov 1, 2025 Accepting new patients
County of Lake CurrentSince Feb 2, 2020 Accepting new patients
County of Lake Current Accepting new patients
Rush University Medical Center CurrentSince Aug 7, 2023 Accepting new patients
County of Lake CurrentSince Feb 2, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 22, 2019 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Froedtert South, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Froedtert South, Inc. Past Accepting new patients

Locations

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583

9532 Eagle Way
Chicago, IL 60678

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

539 N Dearborn St
Chicago, IL 60654
Phone (312) 549-4400

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

1911 27th St
Zion, IL 60099
Phone (847) 377-8800

248 McHenry St
Burlington, WI 53105
Phone (262) 767-8000

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

3400 Market Ln
Fl 2
Kenosha, WI 53144

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

146 E Geneva Sq
Lake Geneva, WI 53147
Phone (262) 249-4678

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

9697 Saint Catherines Dr
Ste 101
Pleasant Prairie, WI 53158
Phone (262) 653-5330

10256 Old Green Bay Rd
Pleasant Prairie, WI 53158
Phone (262) 551-4200

10256 Old Green Bay Rd
Ste 200
Pleasant Prairie, WI 53158
Phone (262) 551-4300

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Interoperability endpoints

  • Direct secure messaging: lluell861157@direct.froedtert.com
  • Direct secure messaging: lluell441600@direct.myadvocateaurora.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1437616836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 MCHENRY ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051828",
            "telephone_number": "262-767-8000",
            "fax_number": "262-767-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10256 Old Green Bay Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531582814",
            "country_code": "US",
            "telephone_number": "262-551-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9977 Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771057",
            "country_code": "US",
            "telephone_number": "224-364-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9697 Saint Catherines Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531582118",
            "country_code": "US",
            "telephone_number": "262-653-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUELL",
        "first_name": "LEILANI",
        "middle_name": "GRUEZO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8918",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095922",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "248 McHenry St",
            "city": "Burlington",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531051828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lluell441600@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "248 McHenry St",
            "city": "Burlington",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531051828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

Verify at the official NPI Registry.