Individual provider Active NPI

Rick McEwan

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1558736736
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.000077 Issued in IL
Practice address
680 N Lake Shore Dr Ste 110
Chicago, IL 60611-4447
Phone
(773) 809-1531
Fax
(331) 233-1303
NPI assigned
Dec 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277.000077 IL
Family Nurse Practitioner 363LF0000X 277.000077 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.000077 IL Primary

Addresses

Primary practice location

680 N Lake Shore Dr Ste 110
Chicago, IL 60611-4447

Mailing address

2435 N Sheffield Ave Ste 9
Chicago, IL 60614-2277
Phone (773) 809-1531

Other practice location 1

6500 N Clark St
Chicago, IL 60626
Phone (773) 388-1600

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
I20160310000235 IL Practitioner - Nurse Practitioner 5294031738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2435 N Sheffield Ave
Apt 9
Chicago, IL 60614-2277
Phone (914) 557-8525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277.000077ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Brown Health Center CurrentSince Dec 1, 2016 Accepting new patients
Howard Brown Health Center CurrentSince Dec 1, 2016 Accepting new patients
Howard Brown Health Center Current Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

6500 N Clark St
Chicago, IL 60626
Phone (773) 681-5033

Organizations & group practices 5

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": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1558736736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 N SHEFFIELD AVE STE 9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142277",
            "telephone_number": "773-809-1531",
            "fax_number": "331-233-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114447",
            "telephone_number": "773-809-1531",
            "fax_number": "331-233-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60626",
            "country_code": "US",
            "telephone_number": "773-388-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "RICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277.000077",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000077",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.000077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.