Active NPI
Amy Michele Ellison, CNP
- Nurse Practitioner
- Westmont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209012868
- Practice address
- 700 E Ogden Ave Ste 202
Westmont, IL 60559-1296 - Phone
- (630) 789-9785
- NPI assigned
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71006091A | IN | |
| Family Nurse Practitioner | 363LF0000X | 1176681 | TX | |
| Family Nurse Practitioner | 363LF0000X | 209012868 | IL | |
| Family Nurse Practitioner | 363LF0000X | 231018 | AR | |
| Nurse Practitioner | 363L00000X | SP032117 | PA | |
| Nurse Practitioner | 363L00000X | 209012868 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 5021341 | NC | |
| Nurse Practitioner | 363L00000X | 0037682 | OH | |
| Family Nurse Practitioner | 363LF0000X | 38142 | TN | |
| Family Nurse Practitioner | 363LF0000X | 71006091A | IN | |
| Family Nurse Practitioner | 363LF0000X | 2025003230 | MO | |
| Family Nurse Practitioner | 363LF0000X | APRN-4938 | HI | |
| Nurse Practitioner | 363L00000X | 315543 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 907204 | MS | |
| Family Nurse Practitioner | 363LF0000X | 11035916 | FL |
Addresses
Primary practice location
700 E Ogden Ave Ste 202
Westmont, IL 60559-1296
Mailing address
700 E Ogden Ave Ste 202
Westmont, IL 60559-1296
Phone (630) 789-9785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-9000
700 E Ogden Ave
Suite 202
Westmont, IL 60559-1296
Phone (630) 789-9785
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8000
Hospital & facility affiliations
- Uchicago Medicine Adventhealth la Grange
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth Glenoaks
- Uchicago Medicine Adventhealth Bolingbrook
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315543 | AZ | MD | Nurse Practitioner |
| 209012868 | IL | MD | Nurse Practitioner |
| 0037682 | OH | MD | Nurse Practitioner |
| SP032117 | PA | MD | Nurse Practitioner |
| 231018 | AR | MD | Family Nurse Practitioner |
| 11035916 | FL | MD | Family Nurse Practitioner |
| APRN-4938 | HI | MD | Family Nurse Practitioner |
| 71006091A | IN | MD | Family Nurse Practitioner |
| 2025003230 | MO | MD | Family Nurse Practitioner |
| 907204 | MS | MD | Family Nurse Practitioner |
| 5021341 | NC | MD | Family Nurse Practitioner |
| 38142 | TN | MD | Family Nurse Practitioner |
| 1176681 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Suburban Pulmonary & Sleep Associates LTD | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
29373 Network Pl
Chicago, IL 60673
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Interoperability endpoints
- aellison89849@direct.luhs.org
- aellison92010@uihealth.direct-ci.com
Organizations & group practices 9
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.
-
- Pulmonary Disease Physician
- Westmont, IL
- NPI 1649283896
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1891913992
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- Psychiatric Hospital Unit
- Glendale Heights, IL
- NPI 1477572949
-
- General Acute Care Hospital
- Glendale Heights, IL
- NPI 1760415939
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1457731127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E OGDEN AVE STE 202",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591296",
"telephone_number": "630-789-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E OGDEN AVE STE 202",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591296",
"telephone_number": "630-789-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "AMY",
"middle_name": "MICHELE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71006091A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1176681",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209012868",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "231018",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP032117",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209012868",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5021341",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "0037682",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "38142",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006091A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2025003230",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-4938",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "315543",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907204",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11035916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.