Ireen Evangelista

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209013596 Issued in IL

Practice address

10330 W Roosevelt Rd Ste 200
Westchester, IL 60154-2564

Phone

(708) 632-5600

Fax

(708) 632-5602

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chicago Midwest Geriatrics Physicians IncGroup PAC ID 9234420365, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amma Home Health Care, Inc Home health agency, Naperville, IL, CCN 148284
• Advancare Healthcare Services Home health agency, Lombard, IL, CCN 147814
• Suncrest Hospice Illinois LLC Hospice, Northbrook, IL, CCN 141696

Merit-based Incentive Payment System (MIPS)

Final score

95 of 100Reported as group

Quality

100

Improvement activities

40

Cost

66.67

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Chicago Midwest Geriatrics Physicians Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Lombard, IL
  • NPI 1104273440
  Medicare reassignment Care Compare group
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1528379195
  Medicare reassignment NPD
• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074
  Medicare reassignment NPD
• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment NPD
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1316829146
  NPD
• Midwest Wound Care Physicians LLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1841018991
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advancare Healthcare Services LLC

  • Home Health Agency
  • Oak Brook, IL
  • NPI 1548299654
  Care Compare affiliation
• Amma Home Health Care Inc.

  • Home Health Agency
  • Naperville, IL
  • NPI 1992025035
  Care Compare affiliation
• Suncrest Hospice Illinois LLC

  dba Suncrest Hospice

  • Community Based Hospice Care Agency
  • Northbrook, IL
  • NPI 1003340050
  Care Compare affiliation

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1447704135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 W ROOSEVELT RD STE 200",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542564",
            "telephone_number": "708-632-5600",
            "fax_number": "708-632-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 W ROOSEVELT RD STE 200",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542564",
            "telephone_number": "708-632-5600",
            "fax_number": "708-632-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "IREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Engel, MD
• Courtney A English, DPT
• Keara Zaneta Enoch, LCPC, CADC, MAATP
• Giovanni Escobar
• Francisco Javier Espinosa-Becerra, MD
• Excel Immediate Care LLC
• Eye Care Associates of Northern Illinois PC
• Elia Fabian, LCPC
• Kristen Faith Fahnstrom, M.A. CCC-SLP
• Faith Wellness Collective

• Nurse Practitioner in Westchester, IL
• Providers in Westchester, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.