Brynn Nicole O'Donnell, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

209.015901 Issued in IL

Practice address

133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661

Phone

(331) 231-6200

Fax

(331) 231-6201

NPI assigned

May 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brynn Nicole Moyer Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Midwest Cardiovascular Institute SC

  • Cardiovascular Disease Physician
  • Naperville, IL
  • NPI 1003491549
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1659807253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "BRYNN",
        "middle_name": "NICOLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.015901",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.015901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNN",
            "last_name": "MOYER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noelle M O Connor, DC
• Patricia Flaherty O'Brien, OTR
• Tess O'Brien, OTR/L
• Kiley O'Connell, BCBA
• Kerry Ann O'Connor, MSN,RN,TNS,SANE-A,
• Lisa Caryn O'Halloran, DT
• Patrick M O'Meara, M.D.
• Megan G O'Neal
• Daniel Francis O'Reilly, M.D.
• Michael Francis O'Toole, MD

• Gerontology Nurse Practitioner in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Gerontology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.