Individual provider Active NPI

Tiereny Minassian, APN

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1497150221
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012070 Issued in IL
Practice address
1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186
Phone
(443) 383-9300
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012070 IL Primary

Addresses

Primary practice location

1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (443) 383-9300

Other practice location 1

110 N Main St
Morton, IL 61550-2024
Phone (309) 266-8900

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
I20141114001469 IL Practitioner - Nurse Practitioner 0143442715 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Refana Health SCGroup PAC ID 1951883099, 9 clinicians
Uziel Shefa Medical SCGroup PAC ID 4082158118, 7 clinicians

Practice addresses (Care Compare)

3818 Oakton St
Suite 100
Skokie, IL 60076-3430
Phone (833) 399-6863

5454 Fargo Ave
Suite 107
Skokie, IL 60077-3210
Phone (310) 933-5688

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shefah Healthcare SC CurrentSince Aug 3, 2025 Accepting new patients
Proctor Health Systems CurrentSince Mar 1, 2023 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Jan 3, 2022 Accepting new patients
Epss Peoria LLC CurrentSince Dec 24, 2016 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 15, 2023 Accepting new patients
Uziel Shefa Medical SC CurrentSince Aug 3, 2025 Accepting new patients
Epss LLC - Central Series CurrentSince Oct 1, 2017 Accepting new patients
Pekin Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Proctor Health Systems CurrentSince Mar 1, 2023 Accepting new patients
Pekin Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Feb 3, 2025 Accepting new patients
Refana Health SC CurrentSince Jan 25, 2026 Accepting new patients
Pekin Hospital PastSince Nov 10, 2014 Accepting new patients

Locations

2720 S River Rd
Ste 130
Des Plaines, IL 60018
Phone (224) 470-6107

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

901 W Walnut St
Metamora, IL 61548
Phone (309) 367-4144

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

5454 Fargo Ave
Ste 107
Skokie, IL 60077

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1497150221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 800",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953186",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Main St",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615502024",
            "country_code": "US",
            "telephone_number": "309-266-8900",
            "fax_number": "309-263-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINASSIAN",
        "first_name": "TIERENY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.