Individual provider Active NPI

Melissa Marguerite Urban, NP

  • Acute Care Nurse Practitioner
  • Waukegan, IL
National Provider Identifier
1518657170
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209.027370 Issued in IL
Practice address
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone
(847) 360-3000
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209.027370 IL Primary

Addresses

Primary practice location

1324 N Sheridan Rd
Waukegan, IL 60085-2161

Mailing address

3656 Creekside CT
Winthrop Harbor, IL 60096-1439

Other names 1

  • Melissa Stone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230526000296 IL Practitioner - Nurse Practitioner 0244697738 Reassigns benefits to 2 organizations
I20250213001342 WI Practitioner - Nurse Practitioner 0244697738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telemedico Physicians of Wisconsin SCGroup PAC ID 7719238575, 3 clinicians
Telemedico Physicians SCGroup PAC ID 6901103647, 22 clinicians

Practice addresses (Care Compare)

2330 S 54TH St
West Allis, WI 53219-2290
Phone (414) 615-7100

3330 Skokie Valley Rd
Suite 200
Highland Park, IL 60035-1041
Phone (847) 386-7744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.027370ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedico Physicians SC CurrentSince Feb 17, 2025 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 2, 2024 Accepting new patients
Telemedico Physicians of Wisconsin SC CurrentSince Feb 7, 2025 Accepting new patients
Waukegan Clinic Corp CurrentSince Jun 2, 2024 Accepting new patients

Locations

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202

2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

33 E Main St
Ste 610
Madison, WI 53703

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 4

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1518657170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 CREEKSIDE CT",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N SHERIDAN RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852161",
            "telephone_number": "847-360-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "MELISSA",
        "middle_name": "MARGUERITE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.027370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "STONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.