Individual provider Active NPI

Nikita Patel, APRN, CNP

  • Nurse Practitioner
  • Warrenville, IL
National Provider Identifier
1437780541
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.020762 Issued in IL
Practice address
4405 Weaver Pkwy
Warrenville, IL 60555-3269
Phone
(630) 352-5450
Fax
(630) 938-8849
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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 209.020762 IL
Nurse Practitioner 363L00000X 209.020762 IL Primary

Addresses

Primary practice location

4405 Weaver Pkwy
Warrenville, IL 60555-3269

Mailing address

4405 Weaver Pkwy
Warrenville, IL 60555-3269
Phone (630) 352-5450

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
I20200317001043 IL Practitioner - Nurse Practitioner 8123456654 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

0 S036 Church St
Winfield, IL 60190-1203

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414

235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600

2635 Church Rd
Suite 101
Aurora, IL 60502-8943
Phone (630) 315-6900

3200 Shakerag HL
Suite C
Peachtree City, GA 30269-6524
Phone (770) 487-0760

636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

7 Blanchard Cir
Wheaton, IL 60189-2038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.020762ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiovascular Institute SC CurrentSince Jan 3, 2022 Accepting new patients
Rush Oak Park Physicians Group Adult Medicine Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 17, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 17, 2022 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

880 W Central Rd
Ste 5000
Arlington Heights, IL 60005
Phone (847) 618-3800

Dept 5777
Carol Stream, IL 60122

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

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

1725 W Harrison St
Ste 54
Chicago, IL 60612
Phone (312) 942-5871

75 Remittance Dr
Chicago, IL 60675

1725 W Harrison St
Ste 774
Chicago, IL 60612
Phone (312) 738-3732

75 Remittance Dr
Dept 1611
Chicago, IL 60675

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

304 Randall Rd
Geneva, IL 60134
Phone (630) 232-0610

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

12255 S 80th Ave
Ste 204
Palos Heights, IL 60463
Phone (708) 923-4400

1850 Gateway Dr
#205
Sycamore, IL 60178

4405 Weaver Pkwy
Warrenville, IL 60555
Phone (630) 352-5450

Interoperability endpoints

  • Direct secure messaging: npatel12223@direct.rush.rush-health.com

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.

Hospital & facility affiliations 6

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1437780541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 WEAVER PKWY",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553269",
            "telephone_number": "630-352-5450",
            "fax_number": "630-938-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 WEAVER PKWY",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553269",
            "telephone_number": "630-352-5450",
            "fax_number": "630-938-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIKITA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020762",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.020762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.