Individual provider Active NPI

Adam Chavez, APRN, CNP

  • Nurse Practitioner
  • Dekalb, IL
National Provider Identifier
1528513066
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277000512 Issued in IL
Practice address
385 Wirtz Dr
Dekalb, IL 60115-3067
Phone
(815) 306-2777
Fax
(815) 306-2778
NPI assigned
Aug 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 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 209014731 ID
Nurse Practitioner 363L00000X 277000512 IL Primary

Addresses

Primary practice location

385 Wirtz Dr
Dekalb, IL 60115-3067

Mailing address

385 Wirtz Dr
Dekalb, IL 60115-3067
Phone (815) 306-2777

Other practice location 1

1710 N Randall Rd Ste 200
Elgin, IL 60123-9402
Phone (847) 214-5740

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address achavez261743@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20161019002738 IL Practitioner - Nurse Practitioner 7517255888 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277000512ILMDNurse Practitioner
209014731IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Oct 1, 2021 Accepting new patients
Center for New Pathways, PC CurrentSince Jan 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 15, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 15, 2017 Accepting new patients
Skypoint Medical Center, SC CurrentSince Jan 22, 2018 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1710 N Randall Rd
Ste 200
Elgin, IL 60123
Phone (847) 214-5738

1102 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 301-7773

1140 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 385-4828

1701 E Woodfield Rd
Ste 330
Schaumburg, IL 60173
Phone (847) 278-4591

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Interoperability endpoints

  • Direct secure messaging: achavez261743@direct.myadvocateaurora.org
  • FHIR API: https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1528513066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 WIRTZ DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153067",
            "telephone_number": "815-306-2777",
            "fax_number": "815-306-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 WIRTZ DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153067",
            "telephone_number": "815-306-2777",
            "fax_number": "815-306-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 N Randall Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601239402",
            "country_code": "US",
            "telephone_number": "847-214-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ADAM",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "209014731",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achavez261743@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1710 N Randall Rd Ste 200",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1710 N Randall Rd Ste 200",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.