Individual provider Active NPI

Erin Podgorny, MS APN AGNP-C

  • Adult Health Nurse Practitioner
  • Westmont, IL
National Provider Identifier
1548618085
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209014203 Issued in IL
Practice address
5801 S Cass Ave
Westmont, IL 60559-2300
Phone
(630) 971-2645
NPI assigned
May 25, 2016
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209014203 IL Primary

Addresses

Primary practice location

5801 S Cass Ave
Westmont, IL 60559-2300

Mailing address

24 W Station St Unit 219
Palatine, IL 60067-7602
Phone (847) 997-0142

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
I20170619001672 IL Practitioner - Nurse Practitioner 5193012649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanjay Gill, M.D. P.C.Group PAC ID 0941488969, 2 clinicians

Practice addresses (Care Compare)

2266 N Lincoln Ave
Suite 3
Chicago, IL 60614-7601
Phone (773) 327-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1548618085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W STATION ST UNIT 219",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677602",
            "telephone_number": "847-997-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592300",
            "telephone_number": "630-971-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODGORNY",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "MS APN AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209014203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.