Individual provider Active NPI

Victoria N Bukenya, NP

  • Family Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1649884768
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.021854 Issued in IL
Practice address
1480 Pheasant Trail CT
Hoffman Estates, IL 60192-4526
Phone
(847) 331-6721
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.021854 IL Primary

Addresses

Primary practice location

1480 Pheasant Trail CT
Hoffman Estates, IL 60192-4526

Mailing address

1480 Pheasant Trail CT
Hoffman Estates, IL 60192-4526
Phone (847) 331-6721

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
I20210217002560 IL Practitioner - Nurse Practitioner 8123433554 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.021854ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Provider Services Inc Family CurrentSince Aug 30, 2022 Accepting new patients
All Medical 1 LLC Past Accepting new patients

Organizations & group practices 2

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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1649884768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 PHEASANT TRAIL CT",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924526",
            "telephone_number": "847-331-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 PHEASANT TRAIL CT",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924526",
            "telephone_number": "847-331-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKENYA",
        "first_name": "VICTORIA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.021854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.