Active NPI
Annabelle Bedenko, APN-CNP
- Nurse Practitioner
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209018482
- Practice address
- 9977 Woods Dr Ste 100
Skokie, IL 60077-1057 - Phone
- (224) 364-2273
- Fax
- (847) 663-8290
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209018482 | IL | Primary |
Addresses
Primary practice location
9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Mailing address
9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Phone (224) 364-2273
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190614000181 | IL | Practitioner - Nurse Practitioner | 9830422344 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morris Hospital
Practice addresses (Care Compare)
100 Gore Rd
Morris, IL 60450-9466
Phone (815) 942-0545
Hospital & facility affiliations
- Morris Hospital & Healthcare Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Valley Emergency Care Management, Inc. | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Freeport Memorial Hospital | Past | Accepting new patients |
Locations
389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532
27240 W Saxony Dr
Ste 203
Channahon, IL 60410
Phone (815) 705-1000
27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518
27240 W Saxony Dr
Channahon, IL 60410
Phone (815) 521-1500
9532 Eagle Way
Chicago, IL 60678
1450 E Division St
Diamond, IL 60416
Phone (815) 364-3500
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122
100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919
725 School St
Ste A
Morris, IL 60450
150 W High St
Morris, IL 60450
Phone (815) 942-2129
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
9977 Woods Dr
Ste 100
Skokie, IL 60077
Phone (847) 663-8350
Organizations & group practices 16
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.
-
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- Durable Medical Equipment & Medical Supplies
- Diamond, IL
- NPI 1164179479
-
- Durable Medical Equipment & Medical Supplies
- Ottawa, IL
- NPI 1629661590
-
- Durable Medical Equipment & Medical Supplies
- Joliet, IL
- NPI 1639762503
-
- Radiation Oncology Physician
- Morris, IL
- NPI 1720185150
-
- Durable Medical Equipment & Medical Supplies
- Morris, IL
- NPI 1730772609
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 1
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": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1639630965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9977 WOODS DR STE 100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771057",
"telephone_number": "224-364-2273",
"fax_number": "847-663-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9977 WOODS DR STE 100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771057",
"telephone_number": "224-364-2273",
"fax_number": "847-663-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDENKO",
"first_name": "ANNABELLE",
"credential": "APN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209018482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.