Patricia R Pipp
Individual provider Active NPI Family Nurse Practitioner · Lincolnshire, IL
NPI 1679738348 · NPPES record last updated Jan 13, 2009
Key facts
- NPI
- 1679738348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209006272 (IL)
- Practice address
- 33 Fox TRL
Lincolnshire, IL 60069-4011 - Phone
- (847) 374-1175
- NPI assigned
- Jul 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yusuf Salah LLC
Practice addresses (Care Compare)
7300 W College Dr
Suite 101
Palos Heights, IL 60463-1181
Phone (708) 448-8470
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081017000508 | IL | Practitioner - Nurse Practitioner | 7517025604 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hpa Medical Management, LLC | Current |
Accepting new patients | |
| Perspective Behavioral and Pain Solutions LTD | Current |
Accepting new patients | |
| Hpa Medical Management, LLC | Current |
Accepting new patients | |
| Mathers Recovery LLC | Current |
Accepting new patients | |
| Mathers Recovery LLC | Current | Accepting new patients | |
| Yusuf Salah LLC | Family | Current |
Accepting new patients |
| Lutheran Social Services of Illinois | Current |
Accepting new patients | |
| Lutheran Social Services of Illinois | Current |
Accepting new patients |
Locations
405 Lake Zurich Rd
Ste 100
Barrington, IL 60010
Phone (847) 381-5599
5215 N California Ave
Ste F101
Chicago, IL 60625
Phone (773) 561-5809
4840 W Byron St
Chicago, IL 60641
Phone (773) 282-7800
145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654
2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277
1001 E Touhy Ave
Ste 170
Des Plaines, IL 60018
Phone (847) 390-1422
420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
6321 Dempster St
Morton Grove, IL 60053
7300 W College Dr
Ste 101
Palos Heights, IL 60463
Phone (708) 448-8470
6303 Cowboys Way
Ste 600
Frisco, TX 75034
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209006272 | IL | Yes |
Addresses
Primary practice location
33 Fox TRL
Lincolnshire, IL 60069-4011
Mailing address
33 Fox TRL
Lincolnshire, IL 60069-4011
Phone (847) 374-1175
NPI Registry JSON
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1679738348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 FOX TRL",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600694011",
"telephone_number": "847-374-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 FOX TRL",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600694011",
"telephone_number": "847-374-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPP",
"first_name": "PATRICIA",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209006272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnshire, IL
- Beata Dorota Penar
- Joseph A Perkins Jr.
- Philip J Metres Jr, PH.D.,P.C.
- Cassandra Piekarski
- Hristo I Piponov
- Kristin Plath
- Prairieshore Pain Center, P.C.
- Premier Pediatrics, S.C.
- Protected Tomorrows
- Steven Michael Prus
All providers in Lincolnshire, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.