Individual provider Active NPI

Stewart M. Bishop, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1639698244
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209020355 Issued in IL
Practice address
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone
(773) 665-3370
NPI assigned
Sep 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-77844-122 KS
Family Nurse Practitioner 363LF0000X 209020355 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209020355 IL Primary

Addresses

Primary practice location

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Mailing address

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3370

Other practice location 1

330 SW Oakley Ave
Topeka, KS 66606-1995
Phone (785) 233-1730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IL2 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
I20190131002741 KS Practitioner - Nurse Practitioner 5890032635 Reassigns benefits to 1 organization
I20200915001010 IL Practitioner - Nurse Practitioner 5890032635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians
Fabian Carbonell MD SCGroup PAC ID 7416980172, 13 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2845 N Sheridan Rd
Suite 708
Chicago, IL 60657-7227
Phone (773) 649-4261

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Hospital & facility affiliations

  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-77844-122KSMDNurse Practitioner
209020355ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Aug 17, 2020 Accepting new patients
Astra Mental Health and Recovery, Inc. CurrentSince Jan 17, 2019 Accepting new patients
Presence Healthcare Services Family CurrentSince Aug 17, 2020 Accepting new patients
Astra Mental Health and Recovery, Inc. CurrentSince Jan 17, 2019 Accepting new patients
Fabian Carbonell MD SC CurrentSince Oct 1, 2020 Accepting new patients
Presence Healthcare Services Current Accepting new patients

Locations

2960 N Lakeshore
Chicago, IL 60657
Phone (773) 525-3045

62311 Collection Ctr Dr
Chicago, IL 60693

331 W Surf St
Ste 708
Chicago, IL 60657
Phone (773) 649-4261

2845 N Sheridan Rd
Ste 708
Chicago, IL 60657
Phone (773) 649-4261

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

2401 SW 6th Ave
Topeka, KS 66606
Phone (785) 273-2252

5401 SW 7th St
Topeka, KS 66606
Phone (785) 273-2252

330 SW Oakley Ave
Topeka, KS 66606
Phone (785) 233-1730

Organizations & group practices 6

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 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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1639698244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 SW Oakley Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061995",
            "country_code": "US",
            "telephone_number": "785-233-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "STEWART",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77844-122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020355",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209020355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.