Individual provider Active NPI

Vanessa Peters, APN

  • Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1679133888
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209019453 Issued in IL
Practice address
1511 Greenwood Rd
Glenview, IL 60026-1513
Phone
(847) 729-9090
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209019453 IL Primary

Addresses

Primary practice location

1511 Greenwood Rd
Glenview, IL 60026-1513

Mailing address

1426 W Irving Park Rd Ste 1
Chicago, IL 60613-5699
Phone (773) 791-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, CA, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190715002603 IL Practitioner - Nurse Practitioner 6608101589 Reassigns benefits to 3 organizations
I20240712003821 FL Practitioner - Nurse Practitioner 6608101589 Reassigns benefits to 1 organization
I20251104003658 CA Practitioner - Nurse Practitioner 6608101589 Reassigns benefits to 2 organizations
I20260415003897 TX Practitioner - Nurse Practitioner 6608101589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pair Team Medical Group of California PC CurrentSince Sep 29, 2025 Accepting new patients
Pair Team Medical Group, P.a. CurrentSince Sep 29, 2025 Accepting new patients
Cardiac Surgery Associates SC CurrentSince May 12, 2020 Accepting new patients
Virta Medical P.C. CurrentSince Jun 1, 2024 Accepting new patients
Southwest Infectious Disease & Internal Medicine S C Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

501 Folsom St
Fl 1
San Francisco, CA 94105

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

655 Montgomery St
Ste 810
San Francisco, CA 94111

1201 Hays St
Fl 1
Tallahassee, FL 32301

7447 W Talcott Ave
Ste 512
Chicago, IL 60631
Phone (773) 237-8722

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833

16510 Northchase Dr
Houston, TX 77060
Phone (346) 442-6856

Interoperability endpoints

  • Direct secure messaging: vanessa.peters@682114225012740.direct.elationemr.com

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

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1679133888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W IRVING PARK RD STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135699",
            "telephone_number": "773-791-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 GREENWOOD RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261513",
            "telephone_number": "847-729-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "VANESSA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209019453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.