Individual provider Active NPI

Maria Angela Thea Engracia

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Plaines, IL
National Provider Identifier
1477377646
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209031173 Issued in IL
Practice address
2720 S River Rd Ste 142
Des Plaines, IL 60018-4119
Phone
(224) 524-1675
Fax
(224) 298-0670
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 041387134 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209031173 IL Primary

Addresses

Primary practice location

2720 S River Rd Ste 142
Des Plaines, IL 60018-4119

Mailing address

2720 S River Rd Ste 142
Des Plaines, IL 60018-4119
Phone (224) 524-1675

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305002274 IL Practitioner - Nurse Practitioner 7618061649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindwell IncGroup PAC ID 4587949383, 7 clinicians

Practice addresses (Care Compare)

915 Harger Rd
Suite 101
Oak Brook, IL 60523-1400
Phone (708) 328-3225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041387134ILMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psych First Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Jan 4, 2026 Accepting new patients
Brighter Life Behavioral Services P.C Psychiatric/Mental Health CurrentSince Jan 26, 2025 Accepting new patients
Mindwell Inc CurrentSince Feb 27, 2025 Accepting new patients
DMJ Home Health Services, Inc PastSince Apr 30, 2003 Accepting new patients
Open Mind Counseling Services Inc Psychiatric/Mental Health PastSince Jan 26, 2025 Accepting new patients

Locations

2720 S River Rd
Ste 142
Des Plaines, IL 60018
Phone (224) 601-0082

920 N York Rd
Ste 200
Hinsdale, IL 60521
Phone (630) 749-1433

915 Harger Rd
Ste 101
Oak Brook, IL 60523
Phone (708) 328-3225

1701 E Woodfield Rd
Ste 401
Schaumburg, IL 60173
Phone (224) 269-4549

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1477377646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 142",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184119",
            "telephone_number": "224-524-1675",
            "fax_number": "224-298-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 142",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184119",
            "telephone_number": "224-524-1675",
            "fax_number": "224-298-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGRACIA",
        "first_name": "MARIA ANGELA",
        "middle_name": "THEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "041387134",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209031173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.