Active NPI
Chenise L Creggett
- Family Nurse Practitioner
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018487
- Practice address
- 1512 N Naper Blvd Ste 176
Naperville, IL 60563-9369 - Phone
- (630) 526-4014
- NPI assigned
- Oct 2, 2018
- Last updated
- Apr 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209018487 | IL | Primary |
Addresses
Primary practice location
1512 N Naper Blvd Ste 176
Naperville, IL 60563-9369
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccreggett331842@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.58 of 100
- Quality
- 13.74
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209018487 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Illinois Urgent Care Professionals PLLC | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Community Health Providers PLLC | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
10834B S Doty Ave
Chicago, IL 60628
Phone (773) 995-9911
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
800 W Fulton Market
Fl 12
Chicago, IL 60607
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101
17960 Halsted St
Homewood, IL 60430
Phone (708) 923-0911
4460 N Harlem Ave
Norridge, IL 60706
Phone (708) 402-9140
534 Randall Rd
South Elgin, IL 60177
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050
25 N Winfield Rd
Ste 432
Winfield, IL 60190
Interoperability endpoints
- ccreggett331842@direct.myadvocateaurora.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Local MD Urgent Care
- Family Medicine Physician
- Homewood, IL
- NPI 1215407812
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Family Medicine Physician
- Homewood, IL
- NPI 1184546467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1659856946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 N NAPER BLVD STE 176",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605639369",
"telephone_number": "630-526-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREGGETT",
"first_name": "CHENISE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209018487",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccreggett331842@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1512 N Naper Blvd Ste 176",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605639369",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1512 N Naper Blvd Ste 176",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605639369",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.