Sean J Colwell, APN
Individual provider Active NPI Family Nurse Practitioner · Lemont, IL
NPI 1639722788 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1639722788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.019622 (IL)
- Practice address
- 461 Wexford Dr
Lemont, IL 60439-6157 - Phone
- (312) 388-0675
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seaside Emergency Associates
Practice addresses (Care Compare)
300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6165
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200423002927 | CA | Practitioner - Nurse Practitioner | 0143276279 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.019622 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Emergency Associates | Current |
Accepting new patients |
Locations
825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
Interoperability endpoints
- sean.colwell.p49@direct.medcor.nextgenshare.com
- sean.colwell.p28@direct.medcor.nextgenshare.com
- seancolwell@advocatehealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.019622 | IL | Yes |
Addresses
Primary practice location
461 Wexford Dr
Lemont, IL 60439-6157
Mailing address
461 Wexford Dr
Lemont, IL 60439-6157
Phone (312) 388-0675
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Seancolwell@advocatehealth.com | Direct |
Other providers in Lemont, IL
- Paragini K Chandarana
- Grace Nancy Chialdikas
- Lisa Ann Cieski
- Kristy Cikowski
- Molly Cleary
- Comfortnest Home Care LLC
- Janet Lynn Condron
- Ellen Elizabeth Connolly
- Linda Christine Cooling
- Creative Life Initiatives, LLC
All providers in Lemont, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.