Individual provider Active NPI

Odolina Calderon Pope, FNP-C

  • Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1629626684
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.019106 Issued in IL
Practice address
954 W State St
Sycamore, IL 60178-1335
Phone
(815) 895-9144
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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 209.019106 IL Primary

Addresses

Primary practice location

954 W State St
Sycamore, IL 60178-1335

Mailing address

504 Crystal CT
Oswego, IL 60543-7937
Phone (630) 701-0767

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address opope123572@direct.edward.org 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
I20191016000867 IL Practitioner - Nurse Practitioner 0648501007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019106ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E Mediate Cure LLC CurrentSince Nov 9, 2024 Accepting new patients
Edward Health Ventures CurrentSince Apr 15, 2021 Accepting new patients
A Plus Healthcare Management LLC Nurse Practitioner Current Accepting new patients
E Mediate Cure LLC CurrentSince Nov 9, 2024 Accepting new patients
Edward Health Ventures CurrentSince Apr 15, 2021 Accepting new patients

Locations

1222 N Eola Rd
Aurora, IL 60502
Phone (630) 499-8804

1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

954 W State St
Sycamore, IL 60178
Phone (815) 895-9144

Interoperability endpoints

  • Direct secure messaging: odolina.pope.1@17829.direct.athenahealth.com

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1629626684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CRYSTAL CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437937",
            "telephone_number": "630-701-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W STATE ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781335",
            "telephone_number": "815-895-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "ODOLINA",
        "middle_name": "CALDERON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.019106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "opope123572@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "954 W State St",
            "city": "Sycamore",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601781335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.