Individual provider Active NPI

Brittany Malabanan, MSN

  • Nurse Practitioner
  • Elk Grove Village, IL
National Provider Identifier
1619635216
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209024597 Issued in IL
Practice address
901 Biesterfield Rd Ste 310
Elk Grove Village, IL 60007-7324
Phone
(847) 952-9332
Fax
(847) 952-9338
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041444526 IL
Nurse Practitioner 363L00000X 209024597 IL Primary

Addresses

Primary practice location

901 Biesterfield Rd Ste 310
Elk Grove Village, IL 60007-7324

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other names 1

  • Brittany Hoffman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

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
I20211209000670 IL Practitioner - Nurse Practitioner 7214327048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Northern Illinois LTDGroup PAC ID 2163328675, 117 clinicians
Nani Elk GroveGroup PAC ID 8123266376, 18 clinicians

Practice addresses (Care Compare)

1555 N Barrington Rd
Suite 3400
Hoffman Estates, IL 60169-1023
Phone (847) 952-9332

901 Biesterfield Rd
Suite 310
Elk Grove Village, IL 60007-7324
Phone (847) 952-9332

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041444526ILMDRegistered Nurse
209024597ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Dec 13, 2021 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Current Accepting new patients
Nani Elk Grove CurrentSince Dec 13, 2021 Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients

Locations

3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

901 Biesterfield Rd
Ste 310
Elk Grove Vlg, IL 60007
Phone (847) 437-7070

120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

Interoperability endpoints

  • Direct secure messaging: bmalabanan49730@direct.acumenmd.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1619635216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD STE 310",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077324",
            "telephone_number": "847-952-9332",
            "fax_number": "847-952-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALABANAN",
        "first_name": "BRITTANY",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041444526",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 Biesterfield Rd Ste 310",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600077324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HOFFMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.