Individual provider Active NPI

Noreen Connelly, APRN, FNP

  • Family Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1669232336
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.029427 Issued in IL
Practice address
911 N Elm St Ste 128
Hinsdale, IL 60521-3640
Phone
(630) 856-7460
Fax
(630) 655-9943
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 209.029427 IL Primary

Addresses

Primary practice location

911 N Elm St Ste 128
Hinsdale, IL 60521-3640

Mailing address

919 S Stough St
Hinsdale, IL 60521-4355
Phone (630) 408-3187

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
I20240809001372 IL Practitioner - Nurse Practitioner 2860930757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muhammad a Shahzad MD PCGroup PAC ID 2769579457, 4 clinicians
Mohammed Shakaib MD SCGroup PAC ID 3274797659, 2 clinicians

Practice addresses (Care Compare)

1 S376 Summit Ave
Suite 4B
Oakbrook Terrace, IL 60181-3966
Phone (331) 221-1957

800 Biesterfield Rd
Suite 409
Elk Grove Village, IL 60007-3378
Phone (847) 879-1049

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Muhammad a Shahzad MD PC CurrentSince Jul 1, 2025 Accepting new patients
Brieanna Nation-Howard, D.O. Palliative Care, P.C. CurrentSince Aug 5, 2024 Accepting new patients

Locations

800 Biesterfield Rd
Ste 409
Elk Grove Vlg, IL 60007
Phone (847) 879-1049

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

1717 N Naper Blvd
Ste 301
Naperville, IL 60563
Phone (630) 649-7630

1S376 Summit Ave
Ste 4B
Oakbrook Terrace, IL 60181
Phone (331) 221-1957

717 N Harwood St
Ste 550
Dallas, TX 75201
Phone (214) 628-9951

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1669232336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 S STOUGH ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214355",
            "telephone_number": "630-408-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N ELM ST STE 128",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213640",
            "telephone_number": "630-856-7460",
            "fax_number": "630-655-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "NOREEN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.