Active NPI
Elizabeth Marcinek, APRN, CNP
- Nurse Practitioner
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209013633
- Practice address
- 4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437 - Phone
- (815) 759-8070
- Fax
- (815) 759-4931
- NPI assigned
- Dec 9, 2015
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013633 | IL | |
| Nurse Practitioner | 363L00000X | 209013633 | IL | Primary |
Addresses
Primary practice location
4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437
Mailing address
4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437
Phone (815) 759-8070
Other practice location 1
1340 Charles St Ste 300
Rockford, IL 61104-2200
Phone (779) 696-5888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400268415 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | EMARCINEK1079519@DIRECT.UWHEALTH.ORG |
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
- Loyola University of Chicago, Stritch School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1340 Charles St
Rockford, IL 61104-2200
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
2909 N Main St
Rockford, IL 61103-3100
Phone (779) 696-5000
5665 N Junction Way
Sa Davis Junction
Davis Junction, IL 61020-9433
Phone (779) 696-9200
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013633 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Swedishamerican Hospital | Nurse Practitioner | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4309 W Medical Center Dr
Ste A200
McHenry, IL 60050
Phone (815) 759-4699
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- emarcinek1079519@direct.uwhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SwedishAmerican Medical Group
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1467827907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 W MEDICAL CENTER DR STE A200",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508437",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 W MEDICAL CENTER DR STE A200",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508437",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931"
}
],
"practiceLocations": [
{
"address_1": "1340 Charles St Ste 300",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611042200",
"country_code": "US",
"telephone_number": "779-696-5888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCINEK",
"first_name": "ELIZABETH",
"credential": "APRN, CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013633",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209013633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "F400268415",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "206147",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "EMARCINEK1079519@DIRECT.UWHEALTH.ORG",
"affiliation": "N",
"address_1": "1340 Charles St Ste 300",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611042200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.