Active NPI
Ernestine Monica Koehn, FNP-BC
- Family Nurse Practitioner
- Mt. Prospect, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.009215
- Practice address
- 800 E. Northwest Highway
Mt. Prospect, IL 60056 - Phone
- (847) 299-4952
- Fax
- (847) 299-4952
- NPI assigned
- May 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.009215 | IL | Primary |
Addresses
Primary practice location
800 E. Northwest Highway
Mt. Prospect, IL 60056
Mailing address
800 E. Northwest Highway
Mt. Prospect, IL 60056
Phone (847) 867-7924
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 E Devon Ave
Suite 217
Des Plaines, IL 60018-4526
Phone (847) 238-8300
6044 N Nassau Ave
Chicago, IL 60631-2649
Phone (847) 238-8300
Hospital & facility affiliations
- Alphazeta Healthcare Services, LLC
- I J Healthcare Nursing Resource Inc
- All About Healthcare, Inc
- Atnt Home Health Care, Inc
- Global Home Health, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.009215 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Care Home Physicians LLC | Current | Accepting new patients | |
| Anointed Hands Physical Therapy and Fitness Center | Current | Accepting new patients | |
| Paragon Clinical Midwest, LLC | Past | Accepting new patients | |
| Osf Multi-Specialty Group | Past | Accepting new patients |
Locations
2250 E Devon Ave
Ste 217
Des Plaines, IL 60018
Phone (847) 238-8300
1316 N Cedar Rd
New Lenox, IL 60451
Phone (773) 470-3743
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1104460922
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New Lenox, IL
- NPI 1003164906
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lincolnwood, IL
- NPI 1568550630
-
- Home Health Agency
- Chicago, IL
- NPI 1811197429
-
- Home Health Agency
- Deerfield, IL
- NPI 1245253400
-
- Home Health Agency
- Oak Park, IL
- NPI 1255946836
-
- Home Health Agency
- Tinley Park, IL
- NPI 1316991573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467710046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E. NORTHWEST HIGHWAY",
"city": "MT. PROSPECT",
"state": "IL",
"postal_code": "60056",
"telephone_number": "847-867-7924",
"fax_number": "773-752-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E. NORTHWEST HIGHWAY",
"city": "MT. PROSPECT",
"state": "IL",
"postal_code": "60056",
"telephone_number": "847-299-4952",
"fax_number": "847-299-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHN",
"first_name": "ERNESTINE",
"middle_name": "MONICA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.009215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt. Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.