Peggy Ann Preidis, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209005798 Issued in IL

Practice address

170 North Lakewood Road
Lake in the Hills, IL 60156-5945

Phone

(224) 569-4000

Fax

(877) 686-5642

NPI assigned

Jan 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peggy.preidis@urb.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BHHCAD

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.

• Urbancare, LLC

  • Internal Medicine Physician
  • Lake in the Hills, IL
  • NPI 1629449053
  Medicare reassignment NPD
• Fox Ridge Medical Associates, LLC

  • Primary Care Clinic/Center
  • McHenry, IL
  • NPI 1205322716
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1447238753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "877-686-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "877-686-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREIDIS",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209005798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "209005798",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.preidis@urb.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "170 North Lakewood Road",
            "city": "Lake in the Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601565945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.