Active NPI
Melissa Marguerite Urban, NP
- Acute Care Nurse Practitioner
- Waukegan, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209.027370
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.027370 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telemedico Physicians SC | Current | Accepting new patients | |
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| Telemedico Physicians of Wisconsin SC | Current | Accepting new patients | |
| Waukegan Clinic Corp | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Highland Park, IL
- NPI 1912368150
-
- Cardiovascular Disease Physician
- Madison, WI
- NPI 1215414727
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.