Active NPI
Madaline Neri-Hardt, ANP
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1528200540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.001515
- Practice address
- 415 E North Water St
Unit 702
Chicago, IL 60611-5594 - Phone
- (773) 771-2451
- NPI assigned
- Apr 6, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.001515 | IL | Primary |
Addresses
Primary practice location
415 E North Water St
Unit 702
Chicago, IL 60611-5594
Mailing address
415 E North Water St
Unit 702
Chicago, IL 60611-5594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.001515 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Clinical Midwest, LLC | Past | Accepting new patients | |
| Paragon Clinical LLC | Family | Past | Accepting new patients |
| Osf Multi-Specialty Group | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1528200540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E NORTH WATER ST",
"address_2": "UNIT 702",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E NORTH WATER ST",
"address_2": "UNIT 702",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115594",
"telephone_number": "773-771-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERI-HARDT",
"first_name": "MADALINE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-06",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.001515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.