Individual provider Active NPI

Joel Manalo Ocampo, AGNP-BC

  • Gerontology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1548724982
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.018562 Issued in IL
Practice address
2233 W Division St
Chicago, IL 60622-8151
Phone
(312) 770-2000
NPI assigned
Jan 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.018562 IL Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-8151

Mailing address

735 N Swift Rd Apt 202
Addison, IL 60101-1662
Phone (708) 703-0957

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
I20200708000805 IL Practitioner - Nurse Practitioner 3173946258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

Practice addresses (Care Compare)

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-6477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.018562ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery Associates SC CurrentSince Dec 19, 2024 Accepting new patients
Stellar Pain and Spine Specialists CurrentSince Sep 5, 2025 Accepting new patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jun 13, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

7447 W Talcott Ave
Ste 512
Chicago, IL 60631
Phone (773) 237-8722

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

2740 W Foster Ave
Ste 309
Chicago, IL 60625
Phone (773) 769-3141

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

2913 N Commonwealth Ave
Ste 400
Chicago, IL 60657
Phone (773) 665-3308

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

2650 Warrenville Rd
Ste 280
Downers Grove, IL 60515
Phone (630) 324-7920

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

7411 Lake St
Ste L180
River Forest, IL 60305
Phone (708) 763-4781

Organizations & group practices 3

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1548724982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N SWIFT RD APT 202",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011662",
            "telephone_number": "708-703-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "312-770-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "JOEL",
        "middle_name": "MANALO",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.018562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.