Individual provider Active NPI

Elizabeth Ann Nanney, APN-CNP

  • Pediatric Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1649449950
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209006541 Issued in IL
Practice address
1625 W. Harrison
708 Kellogg
Chicago, IL 60612
Phone
(312) 593-7489
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209006541 IL Primary
Nurse Practitioner 363L00000X 209006541 IL

Addresses

Primary practice location

1625 W. Harrison
708 Kellogg
Chicago, IL 60612

Mailing address

3145 176TH St
Lansing, IL 60438-1960
Phone (312) 593-7489

Other practice location 1

908 N Elm St Ste 309
Hinsdale, IL 60521-3625
Phone (847) 490-4222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.nanney.1@380.direct.athenahealth.com

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
I20110630000608 IL Practitioner - Nurse Practitioner 9537347059 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209006541ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Lurie Children'S Medical Group, LLC Past Accepting new patients
Wyse Eyecare SC Past Accepting new patients

Locations

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447

1200 S York St
Ste 3190
Elmhurst, IL 60126
Phone (331) 221-9275

Interoperability endpoints

  • Direct secure messaging: enanney183748@direct.edward.org
  • Direct secure messaging: elizabeth.nanney.1@380.direct.athenahealth.com
  • Direct secure messaging: enanney144713@direct.rush.rush-health.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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1649449950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 176TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381960",
            "telephone_number": "312-593-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W. HARRISON",
            "address_2": "708 KELLOGG",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-593-7489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 N Elm St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213625",
            "country_code": "US",
            "telephone_number": "847-490-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANNEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209006541",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209006541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.nanney.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St Ste 309",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.