Individual provider Active NPI

Ericka Eyas, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1437827037
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.023759 Issued in IL
Practice address
2050 Larkin Ave
Elgin, IL 60123-4405
Phone
(847) 697-2400
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.023759 IL Primary

Addresses

Primary practice location

2050 Larkin Ave
Elgin, IL 60123-4405

Mailing address

25W270 Armbrust Ave
Wheaton, IL 60187-3487
Phone (630) 886-0519

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
I20211028000269 IL Practitioner - Nurse Practitioner 3779971585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Psychiatry and Counseling, PCGroup PAC ID 8022092667, 14 clinicians

Practice addresses (Care Compare)

2050 Larkin Ave
Suite 202
Elgin, IL 60123-5899
Phone (847) 697-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
209.023759ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychiatry and Counseling, PC CurrentSince Oct 21, 2021 Accepting new patients

Locations

2050 Larkin Ave
Elgin, IL 60123
Phone (847) 697-2400

2050 Larkin Ave
Ste 101
Elgin, IL 60123
Phone (847) 697-2400

2050 Larkin Ave
Ste 202
Elgin, IL 60123
Phone (708) 697-2400

Organizations & group practices 1

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.

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1437827037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25W270 ARMBRUST AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873487",
            "telephone_number": "630-886-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234405",
            "telephone_number": "847-697-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYAS",
        "first_name": "ERICKA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.