Individual provider Active NPI

Tomeka Darise Hill, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Matteson, IL
National Provider Identifier
1508425737
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209019676 Issued in IL
Practice address
4801 Southwick Dr Ste 260
Matteson, IL 60443-2254
Phone
(312) 835-3494
Fax
(815) 717-7284
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 377.002917 IL
Nurse Practitioner 363L00000X 10018779 OR
Family Medicine Physician 207Q00000X 1832692 IL
Nurse Practitioner 363L00000X 301053 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209019676 IL Primary
Family Nurse Practitioner 363LF0000X 277.003061 IL
Registered Nurse 163W00000X 041379288 IL
Nurse Practitioner 363L00000X APRN11023673 FL
Nurse Practitioner 363L00000X 71014866A IN
Nurse Practitioner 363L00000X A174268 IA
Nurse Practitioner 363L00000X 2023017763 MO
Nurse Practitioner 363L00000X 76866 NM

Addresses

Primary practice location

4801 Southwick Dr Ste 260
Matteson, IL 60443-2254

Mailing address

3612 Lincoln Hwy Ste 15
Olympia Fields, IL 60461-1637
Phone (708) 543-6054

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
I20200819002154 IL Practitioner - Nurse Practitioner 3779758719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041379288ILMDRegistered Nurse
1832692ILMDFamily Medicine Physician
301053AZMDNurse Practitioner
APRN11023673FLMDNurse Practitioner
A174268IAMDNurse Practitioner
71014866AINMDNurse Practitioner
2023017763MOMDNurse Practitioner
76866NMMDNurse Practitioner
10018779ORMDNurse Practitioner
277.003061ILMDFamily Nurse Practitioner
377.002917ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amcare Home Health Agency, LLC Current Accepting new patients
Indiana Suburban Visiting Physician Services Current Accepting new patients
Texas Suburban Visiting Physician Services Current Accepting new patients
Faithcare HHA, LLC PastSince Sep 27, 2016 Accepting new patients
Integrative Medical and Mental Wellness (Dba): Integrative Medical Weight Loss Past Accepting new patients

Locations

3612 Lincoln Hwy
Ste 1
Olympia Fields, IL 60461
Phone (312) 257-1747

Organizations & group practices 6

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1508425737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY STE 15",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611637",
            "telephone_number": "708-543-6054",
            "fax_number": "708-810-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR STE 260",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432254",
            "telephone_number": "312-835-3494",
            "fax_number": "815-717-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TOMEKA",
        "middle_name": "DARISE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "377.002917",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10018779",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "1832692",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "301053",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209019676",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.003061",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041379288",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11023673",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014866A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A174268",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023017763",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "76866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.