Rachel J Carlson, APN
Individual provider Active NPI Nurse Practitioner · Romeoville, IL
NPI 1497763882 · NPPES record last updated May 27, 2016
Key facts
- NPI
- 1497763882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209006040 (IL)
- Practice address
- 1280 Windham Pkwy # 104
Romeoville, IL 60446-1673 - Phone
- (630) 378-9785
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070608000247 | IL | Practitioner - Nurse Practitioner | 4789782186 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srinivas C Kota MD SC | Current |
Accepting new patients | |
| E Mediate Cure LLC | Current |
Accepting new patients | |
| E Mediate Cure LLC | Current |
Accepting new patients | |
| A Plus Healthcare Management LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
726 S Weber Rd
Ste A
Bolingbrook, IL 60490
Phone (630) 378-9785
726 S Weber Rd
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
- rachel.carlson.1@17829.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209006040 | IL | Yes |
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
- Rachel J Truitt
Other providers in Romeoville, IL
- Robin Calhoun-Palermo
- Elaina Callahan
- Grecia Calvillo
- Carillon Dental Limited
- Carillon Family Dental Group, PC
- Valerie Lin Carr
- Kelly Carroll
- Rocio Casillas
- Joseph JV Manlegro Castillo
- Lisa Marie Chapman Conlin
All providers in Romeoville, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.