Individual provider Active NPI

Michelle Marie Burns, FNP-BC, ENP-C

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1457070880
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209027146 Issued in IL
Practice address
9735 Skokie Blvd
Skokie, IL 60077-1383
Phone
(847) 380-8969
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209027146 IL Primary

Addresses

Primary practice location

9735 Skokie Blvd
Skokie, IL 60077-1383

Mailing address

4141 Mulford St
Skokie, IL 60076-3555
Phone (773) 749-3675

Other practice location 1

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780

Other practice location 2

2868 N Broadway St
Chicago, IL 60657-6017
Phone (773) 569-3525

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
I20230928002549 IL Practitioner - Nurse Practitioner 8022462795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Illinois PCGroup PAC ID 6002040276, 36 clinicians

Practice addresses (Care Compare)

8755 S Harlem Ave
Bridgeview, IL 60455-1905
Phone (708) 430-2295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027146ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Illinois PC CurrentSince Feb 18, 2025 Accepting new patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Mar 5, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 22, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 22, 2024 Accepting new patients
Community Health Providers PLLC PastSince Aug 14, 2023 Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

8755 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 430-2295

2868 N Broadway St
Chicago, IL 60657
Phone (773) 569-3525

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

9735 Skokie Blvd
Skokie, IL 60077
Phone (847) 380-8969

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1457070880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 MULFORD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763555",
            "telephone_number": "773-749-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771383",
            "telephone_number": "847-380-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606133077",
            "country_code": "US",
            "telephone_number": "773-525-6780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2868 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576017",
            "country_code": "US",
            "telephone_number": "773-569-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, ENP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209027146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.