Individual provider Active NPI

Haley Gerl

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1508639063
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209028169 Issued in IL
Practice address
754 S Saylor Ave
Elmhurst, IL 60126-4730
Phone
(779) 435-2013
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209028169 IL
Gerontology Nurse Practitioner 363LG0600X 209028169 IL
Adult Health Nurse Practitioner 363LA2200X 209028169 IL Primary

Addresses

Primary practice location

754 S Saylor Ave
Elmhurst, IL 60126-4730

Mailing address

754 S Saylor Ave
Elmhurst, IL 60126-4730
Phone (779) 435-2013

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
I20240110004426 IL Practitioner - Nurse Practitioner 2466803796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Renal Care PLLCGroup PAC ID 1456883495, 7 clinicians

Practice addresses (Care Compare)

999 Oakmont Plaza Dr
Suite 600
Westmont, IL 60559-1374
Phone (877) 630-7277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209028169ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cimpar, S.C. Internal Medicine CurrentSince Nov 18, 2023 Accepting new patients
Comprehensive Renal Care PLLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

8700 31st St
Brookfield, IL 60513
Phone (708) 485-0135

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

999 Oakmont Plaza Dr
Ste 600
Westmont, IL 60559
Phone (630) 880-3388

Organizations & group practices 2

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1508639063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S SAYLOR AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264730",
            "telephone_number": "779-435-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S SAYLOR AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264730",
            "telephone_number": "779-435-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERL",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209028169",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209028169",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209028169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.