NPIMap

Individual provider Active NPI

Veronica Matticks, APN

  • Acute Care Clinical Nurse Specialist
  • La Grange Highlands, IL
National Provider Identifier
1548706708
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
209.015262 Issued in IL
Practice address
5201 Willow Springs Rd Ste 150
La Grange Highlands, IL 60525-6557
Phone
(630) 789-3422
NPI assigned
Jan 12, 2017
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 209.015262 IL Primary

Addresses

Primary practice location

5201 Willow Springs Rd Ste 150
La Grange Highlands, IL 60525-6557

Mailing address

5201 Willow Springs Rd Ste 150
La Grange Highlands, IL 60525-6557
Phone (630) 789-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170417001562 IL Practitioner - Nurse Practitioner 0648556191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners IncGroup PAC ID 7517154347, 45 clinicians

Practice addresses (Care Compare)

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
72.65
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
70.57
Promoting interoperability
100
Improvement activities
40
Cost
68.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.015262ILMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Hospital CurrentSince Apr 1, 2017 Accepting new patients
Adventist Health Partners, Inc CurrentSince Oct 29, 2023 Accepting new patients
Dupage Medical Associates, SC Current Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

800 Biesterfield Rd
Ste G01
Elk Grove Vlg, IL 60007

1200 S York St
#1132
Elmhurst, IL 60126

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

5201 Willow Springs Rd
Ste 150
La Grange Highlands, IL 60525
Phone (630) 789-9093

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

Interoperability endpoints

  • Direct secure messaging: vmatticks1240797@adventhealth.direct-ci.com
  • Direct secure messaging: vmatticks125753@direct.edward.org

Organizations & group practices 4

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 8

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1548706708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD STE 150",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256557",
            "telephone_number": "630-789-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD STE 150",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256557",
            "telephone_number": "630-789-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTICKS",
        "first_name": "VERONICA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "IL",
            "license": "209.015262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Highlands, IL

Sources for this page

Verify at the official NPI Registry.