Nelly S Cavero

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019741 Issued in IL

Practice address

1 Executive CT Ste 1
South Barrington, IL 60010-9533

Phone

(847) 882-2030

Fax

(847) 294-1954

NPI assigned

Aug 6, 2019

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

Medicare fee-for-service enrollment

Enrolled in IL, FL, NY3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lagrangeville Medical PCGroup PAC ID 8527440148, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12507/brand/1/csg/1/fhir/r4

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.

• Lagrangeville Medical PC

  • Internal Medicine Physician
  • Franklin Square, NY
  • NPI 1861153322
  Medicare reassignment Care Compare group NPD
• Doctors on Site, LTD

  • General Practice Physician
  • South Barrington, IL
  • NPI 1720410483
  Medicare reassignment NPD
• Chaim Gitelis DO PC

  • Internal Medicine Physician
  • Orangeburg, NY
  • NPI 1154763894

  FL

  Medicare reassignment NPD
• Mac Wound Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Orangeburg, NY
  • NPI 1821875543
  NPD (past)

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

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Gamzel Ny, Inc

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1457906570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N 12TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604011",
            "telephone_number": "773-706-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE CT STE 1",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109533",
            "telephone_number": "847-882-2030",
            "fax_number": "847-294-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVERO",
        "first_name": "NELLY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.019741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikhat Bala, QMPH
• Barrington Family and Cosmetic Dentistry LLC
• Barrington Family Clinic Inc
• Joan Baziotes
• BMN Hospice Care 1 LLC
• Erin Chatten, PSYD, LPC
• Kyle Michael Chin
• Michael B Chin, DDS
• Claudia Cirrincione, OTR/L
• Therese Clucas

• Family Nurse Practitioner in South Barrington, IL
• Providers in South Barrington, 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 9, 2021; 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.