Individual provider Active NPI

Desiree Cunningham

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1528504909
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.001291 Issued in IL
Practice address
3300 Crain St
Skokie, IL 60076-2408
Phone
(773) 616-5330
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.015329 IL
Family Nurse Practitioner 363LF0000X 277.001291 IL Primary

Addresses

Primary practice location

3300 Crain St
Skokie, IL 60076-2408

Mailing address

3300 Crain St
Skokie, IL 60076-2408
Phone (773) 616-5330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcunningham277160@direct.northshore.org

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
I20171127002154 IL Practitioner - Nurse Practitioner 5193082345 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Better Me2, PLLCGroup PAC ID 5890215115, 2 clinicians

Practice addresses (Care Compare)

3300 Crain St
Skokie, IL 60076-2408

4103 Cypress Dr
Zion, IL 60099-9543
Phone (773) 616-5330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.015329ILMDFamily Nurse Practitioner
277.001291ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Sep 23, 2024 Accepting new patients
Bridge to Care CurrentSince Feb 21, 2021 Accepting new patients
M&S Wellness LLC CurrentSince May 12, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 27, 2023 Accepting new patients
Chicago Medical Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Better Me2, PLLC CurrentSince Dec 2, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
County of Lake CurrentSince Sep 23, 2024 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Sep 23, 2019 Accepting new patients
County of Lake Past Accepting new patients

Locations

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

600 Holiday Plaza Dr
Ste 176
Matteson, IL 60443
Phone (708) 617-0253

15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3002 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8088

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

Interoperability endpoints

  • Direct secure messaging: dcunningham277160@direct.northshore.org
  • Direct secure messaging: desiree.cunningham.p1@direct.lakecountyil.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/683/brand/4/csg/61/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1528504909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CRAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762408",
            "telephone_number": "773-616-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CRAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762408",
            "telephone_number": "773-616-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.001291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcunningham277160@direct.northshore.org",
            "affiliation": "N",
            "address_1": "3300 Crain St",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600762408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.