Individual provider Active NPI

Rachel J Carlson, APN

  • Nurse Practitioner
  • Romeoville, IL
National Provider Identifier
1497763882
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209006040 Issued in IL
Practice address
1280 Windham Pkwy # 104
Romeoville, IL 60446-1673
Phone
(630) 378-9785
NPI assigned
Aug 3, 2006
Last updated
May 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209006040 IL Primary

Addresses

Primary practice location

1280 Windham Pkwy # 104
Romeoville, IL 60446-1673

Mailing address

726 S Weber Rd
Bolingbrook, IL 60490-5451
Phone (630) 378-9785

Other names 1

  • Rachel J Truitt Former name

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
I20070608000247 IL Practitioner - Nurse Practitioner 4789782186 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
E Mediate Cure LLC CurrentSince May 12, 2024 Accepting new patients
A Plus Healthcare Management LLC Nurse Practitioner Current Accepting new patients
Srinivas C Kota MD SC CurrentSince Oct 1, 2011 Accepting new patients
E Mediate Cure LLC CurrentSince Dec 5, 2021 Accepting new patients
Family Foot and Ankle Care, P.C. PastSince Sep 3, 2025 Accepting new patients

Locations

726 S Weber Rd
Ste A
Bolingbrook, IL 60490
Phone (630) 378-9785

1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952

1280 Windham Pkwy
#104
Romeoville, IL 60446
Phone (630) 378-9785

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rachel.carlson.1@17829.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1497763882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905451",
            "telephone_number": "630-378-9785",
            "fax_number": "630-378-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 WINDHAM PKWY # 104",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461673",
            "telephone_number": "630-378-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RACHEL",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209006040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "TRUITT",
            "middle_name": "J",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.