Individual provider Active NPI

Neslie Joy Abando Joya, NP-C

  • Nurse Practitioner
  • Cary, IL
National Provider Identifier
1669835260
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209014154 Issued in IL
Practice address
1323 New Haven Dr
Cary, IL 60013-1805
Phone
(224) 678-9085
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61199951 WA
Nurse Practitioner 363L00000X 209014154 IL Primary

Addresses

Primary practice location

1323 New Haven Dr
Cary, IL 60013-1805

Mailing address

1323 New Haven Dr
Cary, IL 60013-1805

Other names 1

  • Neslie Joy Rentuma Abando Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WA2 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
I20161104001408 IL Practitioner - Nurse Practitioner 1052699477 Reassigns benefits to 2 organizations
I20211214002705 WA Practitioner - Nurse Practitioner 1052699477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Hospitalist Group LLCGroup PAC ID 9830559491, 41 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61199951WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Washington, PC Nurse Practitioner CurrentSince Nov 30, 2021 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
Rockford Hospitalist Group, LLC CurrentSince Jul 20, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Nurse Practitioner CurrentSince Nov 30, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Nov 30, 2021 Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 5

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 1

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1669835260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 NEW HAVEN DR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 NEW HAVEN DR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131805",
            "telephone_number": "224-678-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYA",
        "first_name": "NESLIE JOY",
        "middle_name": "ABANDO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61199951",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NESLIE JOY",
            "last_name": "ABANDO",
            "middle_name": "RENTUMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.