Gabrielle Mazade, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020359 Issued in IL

Practice address

50 S Milwaukee Ave Ste 103
Lake Villa, IL 60046-9407

Phone

(224) 215-6242

NPI assigned

Jul 30, 2020

Last updated

Jul 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Wellness PLLCGroup PAC ID 4688016710, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wound Wellness, PLLC

  • Nurse Practitioner
  • Lake Villa, IL
  • NPI 1437915337
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1669081154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S TAYLOR AVE APT 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MILWAUKEE AVE STE 103",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469407",
            "telephone_number": "224-215-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZADE",
        "first_name": "GABRIELLE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Wellness Center
• Martin Pediatric Physical Therapy, Inc.
• Joy Suzann Martin, DPT
• Viktoriia V Martin, LPC
• Semyon Maslovsky, MD
• Ashley J McDowell, SLP
• Mary McGinn
• Medical Care Center of Lake Villa
• Samantha Melillo
• Rachel Michels

• Family Nurse Practitioner in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.

Verify at the official NPI Registry.