NPIMap

Organization Active NPI

Midwest Post Acute Care Aco PLLC

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1457926537
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MIDWEST POST ACUTE CARE ACO PLLC
Practice address
3000 N Halsted St Ste 803
Chicago, IL 60657-6185
Phone
(888) 705-8722
Fax
(888) 705-8722
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Dr. Sean C Cannone, DO
Title
Owner
Phone
(330) 328-3167

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3000 N Halsted St Ste 803
Chicago, IL 60657-6185

Mailing address

2045 W Grand Ave Ste B #28354
Chicago, IL 60612-1577
Phone (888) 705-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210714000468 IN Part B Supplier - Clinic/Group Practice 2961804976 Receives reassigned benefits from 15 practitioners
Practice locations: Lafayette, IN; Logansport, IN; Merrillville, IN; Michigan City, IN; Mishawaka, IN; Muncie, IN; Munster, IN; New Castle, IN…
O20240722000627 IL Part B Supplier - Clinic/Group Practice 2961804976 Receives reassigned benefits from 32 practitioners
O20240806002582 IA Part B Supplier - Clinic/Group Practice 2961804976 Receives reassigned benefits from 17 practitioners
Practice locations: Granger, IA; Urbandale, IA; Toledo, IA; Norwalk, IA; New Hampton, IA; Jefferson, IA; Iowa City, IA; Des Moines, IA…

National Provider Directory

National Provider Directory

Locations

3661 Rochester Ave
Iowa City, IA 52245
Phone (319) 351-7460

100 NE 15th St
Casey, IL 62420
Phone (217) 932-5217

1315 Curt Dr
Champaign, IL 61821
Phone (217) 352-5707

5 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 242-1064

704 E Glover St
Ottawa, IL 61350
Phone (815) 431-4900

3114 E 46th St
Indianapolis, IN 46205
Phone (317) 920-7888

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1457926537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B #28354",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "888-705-8722",
            "fax_number": "888-705-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576185",
            "telephone_number": "888-705-8722",
            "fax_number": "888-705-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST POST ACUTE CARE ACO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "CANNONE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-328-3167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.