Individual provider Active NPI

Francisco Acevedo Jr., APRN, CNP

  • Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1467446930
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277001115 Issued in IL
Practice address
21202 Owens Rd Ste 101
Mokena, IL 60448-2038
Phone
(779) 334-0030
Fax
(779) 334-0031
NPI assigned
Sep 9, 2005
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277001115 IL Primary
Nurse Practitioner 363L00000X 71001336A IN
Family Nurse Practitioner 363LF0000X 209-004145 IL
Family Nurse Practitioner 363LF0000X 71001336A IN

Addresses

Primary practice location

21202 Owens Rd Ste 101
Mokena, IL 60448-2038

Mailing address

21202 Owens Rd Ste 101
Mokena, IL 60448-2038
Phone (779) 334-0030

Other identifiers 2

IdentifierTypeStateIssuer
1467446930OtherBLUECROSS/BLUESHIELD OF INDIANA
200183680MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140410000410 IL Practitioner - Nurse Practitioner 5597731075 Reassigns benefits to 2 organizations
I20140509000028 IN Practitioner - Nurse Practitioner 5597731075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency Medical Associates of Palos, LTD.Group PAC ID 1052578366, 20 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-5800

15300 W Ave
Orland Park, IL 60462-4600

21202 Owens Rd
Suite 101
Mokena, IL 60448-2001
Phone (630) 315-6930

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414

235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600

2635 Church Rd
Suite 101
Aurora, IL 60502-8943
Phone (630) 315-6900

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

7 Blanchard Cir
Wheaton, IL 60189-2038

820 Route 59
Barlett, IL 60103-1694
Phone (630) 213-9600

820 S Il Route 59
Suite 320
Bartlett, IL 60103-1694
Phone (630) 225-2663

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1166

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277001115ILMDNurse Practitioner
71001336AINMDNurse Practitioner
209-004145ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Current Accepting new patients
Emergency Medical Associates of Palos, LTD. CurrentSince Dec 1, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 11, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 11, 2024 Accepting new patients
Cep America LLC CurrentSince Sep 1, 2019 Accepting new patients
Cep America LLC CurrentSince Sep 1, 2019 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Munster Radiology Group PC Past Accepting new patients
Surendra J Shah PC Past Accepting new patients
Sterling Emergency Services of Indiana, Inc Nurse Practitioner Past Accepting new patients
Sterling Emergency Services of Indiana, Inc Nurse Practitioner Past Accepting new patients
Epmg of Indiana, PC Past Accepting new patients
Lafayette Emergency Care, P.C. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

820 S State Route 59
Ste A
Bartlett, IL 60103
Phone (630) 483-5930

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3800 Saint Mary Rd
Ste 102
Valparaiso, IN 46383
Phone (219) 286-3707

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1467446930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21202 OWENS RD STE 101",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482038",
            "telephone_number": "779-334-0030",
            "fax_number": "779-334-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21202 OWENS RD STE 101",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482038",
            "telephone_number": "779-334-0030",
            "fax_number": "779-334-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "FRANCISCO",
        "name_suffix": "Jr.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001115",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001336A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-004145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001336A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD OF INDIANA",
            "identifier": "1467446930",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200183680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.