Individual provider Active NPI

Indre Lewitan, FNP-BC

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1548138985
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032209 Issued in IL
Practice address
4959 Golf Rd
Skokie, IL 60077-1537
Phone
(847) 419-8416
Fax
(847) 983-8946
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209032209 IL Primary

Addresses

Primary practice location

4959 Golf Rd
Skokie, IL 60077-1537

Mailing address

4959 Golf Rd
Skokie, IL 60077-1537
Phone (847) 419-8416

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
I20251216000963 IL Practitioner - Nurse Practitioner 4789178823 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
Advanced Urology, LTD.Group PAC ID 0345148284, 6 clinicians

Practice addresses (Care Compare)

4959 Golf Rd
Skokie, IL 60077-1537
Phone (847) 410-8416

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209032209ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology LTD Single Specialty CurrentSince Nov 5, 2025 Accepting new patients

Locations

4959 Golf Rd
Skokie, IL 60077
Phone (847) 410-8416

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1548138985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771537",
            "telephone_number": "847-419-8416",
            "fax_number": "847-983-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771537",
            "telephone_number": "847-419-8416",
            "fax_number": "847-983-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWITAN",
        "first_name": "INDRE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.