Individual provider Active NPI

Emily Michel, NP

  • Nurse Practitioner
  • Shorewood, IL
National Provider Identifier
1629786371
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.026374 Issued in IL
Practice address
1039 Brookforest Ave
Shorewood, IL 60404-8849
Phone
(815) 733-5952
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 209.026374 IL Primary

Addresses

Primary practice location

1039 Brookforest Ave
Shorewood, IL 60404-8849

Mailing address

1039 Brookforest Ave
Shorewood, IL 60404-8849
Phone (815) 733-5952

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
I20221130003344 IL Practitioner - Nurse Practitioner 5395113088 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
E Mediate Cure LLC CurrentSince May 12, 2024 Accepting new patients
A Plus Healthcare Management LLC Nurse Practitioner Current Accepting new patients
E Mediate Cure LLC CurrentSince Oct 17, 2022 Accepting new patients

Locations

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

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1629786371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 BROOKFOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048849",
            "telephone_number": "815-733-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 BROOKFOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048849",
            "telephone_number": "815-733-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.026374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

Verify at the official NPI Registry.