Individual provider Active NPI

Gretchen Rae Mulheran, NP-C

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1497285100
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016031 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626
Phone
(815) 463-3000
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 209016031 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626

Mailing address

1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

Other identifiers 1

IdentifierTypeStateIssuer
209016031OtherILLICENSE

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
I20170920001012 IL Practitioner - Nurse Practitioner 2466726013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Obstetrics and Womens HealthGroup PAC ID 2365402641, 11 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Obstetrics & Womens Health CurrentSince Aug 1, 2017 Accepting new patients
Marjorie Nolan Cohn LLC Past Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 375
New Lenox, IL 60451
Phone (708) 346-9533

1890 Silver Cross Blvd
Ste 210
New Lenox, IL 60451
Phone (815) 463-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFBDA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497285100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519626",
            "telephone_number": "815-463-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519626",
            "telephone_number": "815-463-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHERAN",
        "first_name": "GRETCHEN",
        "middle_name": "RAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209016031",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.