Individual provider Active NPI

Simone Bryant

  • Nurse Practitioner
  • Lombard, IL
National Provider Identifier
1598304941
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.020669 Issued in IL
Practice address
477 E Butterfield Rd Ste 400
Lombard, IL 60148-4881
Phone
(312) 728-4728
Fax
(312) 728-4729
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.020669 IL Primary

Addresses

Primary practice location

477 E Butterfield Rd Ste 400
Lombard, IL 60148-4881

Mailing address

477 E Butterfield Rd Ste 400
Lombard, IL 60148-4881
Phone (312) 728-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200309002203 IL Practitioner - Nurse Practitioner 8426486218 Reassigns benefits to 1 organization
I20201016001954 IN Practitioner - Nurse Practitioner 8426486218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1200 Luther Dr
Crown Point, IN 46307-5043
Phone (219) 663-3860

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.020669ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jan 27, 2020 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jan 27, 2020 Accepting new patients

Locations

1201 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-2600

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

1660 Oakton Pl
Des Plaines, IL 60018
Phone (847) 299-5588

19330 S Cottage Grove Ave
Glenwood, IL 60425
Phone (708) 758-6200

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

2145 E 170th St
South Holland, IL 60473
Phone (708) 849-5000

1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110

203 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 661-5100

950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613

2400 Silhavy Rd
Valparaiso, IN 46383
Phone (219) 462-1778

6685 E 117th Ave
Winfield, IN 46307
Phone (219) 662-0642

Organizations & group practices 2

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1598304941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 400",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484881",
            "telephone_number": "312-728-4728",
            "fax_number": "312-728-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 400",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484881",
            "telephone_number": "312-728-4728",
            "fax_number": "312-728-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.020669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.