Individual provider Active NPI

Felicia Carter, FNP

  • Family Nurse Practitioner
  • Lynwood, IL
National Provider Identifier
1669828398
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013743 Issued in IL
Practice address
20042 Terrace Ave
None
Lynwood, IL 60411-1312
Phone
(708) 378-4971
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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 209.013743 IL Primary

Addresses

Primary practice location

20042 Terrace Ave
None
Lynwood, IL 60411-1312

Mailing address

20042 Terrace Ave
Lynwood, IL 60411-1312
Phone (708) 378-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161201000312 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 2365722790 Reassigns benefits to 4 organizations
I20190214000189 IN Practitioner - Nurse Practitioner 2365722790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everwell Wound Care Professional LLCGroup PAC ID 2163906728, 5 clinicians
Evocare Wound Solutions PAGroup PAC ID 5597292011, 13 clinicians
Evohome Medical CorporationGroup PAC ID 4486168515, 9 clinicians
Lifeline Physicians LLCGroup PAC ID 4082083811, 10 clinicians

Practice addresses (Care Compare)

27353 N Oakleaf CT
Mundelein, IL 60060-9580
Phone (888) 383-7931

400 N May St
Suite 101
Chicago, IL 60642-6495
Phone (312) 498-6616

611 Hunter LN
Lake Forest, IL 60045-4905
Phone (847) 615-2273

Hospital & facility affiliations

  • Metropolitan Home Health Care, Inc Home health agency, Wheeling, IL, CCN 147786
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013743ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evohome Medical Corporation CurrentSince Jun 1, 2025 Accepting new patients
Lifeline Physicians LLC CurrentSince Jun 1, 2025 Accepting new patients
Quality Plus Care Inc CurrentSince Aug 1, 2025 Accepting new patients
Evocare Wound Solutions PA CurrentSince Aug 1, 2025 Accepting new patients
Osh-in Physicians Group, PC Family PastSince Jan 9, 2019 Accepting new patients
Generations Behavioral Healthcare, P.C. Past Accepting new patients

Locations

400 N May St
Ste 201
Chicago, IL 60642
Phone (888) 491-6729

400 N May St
Ste 101
Chicago, IL 60642
Phone (312) 498-6616

5635 W 96th St
Ste 300
Indianapolis, IN 46278
Phone (317) 733-9454

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEECD/Endpoint/BGEECD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1669828398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20042 TERRACE AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111312",
            "telephone_number": "708-378-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20042 TERRACE AVE",
            "address_2": "NONE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111312",
            "telephone_number": "708-378-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "FELICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

Verify at the official NPI Registry.