Individual provider Active NPI

Paula Ann Wenk Cahill, ANP-BC

  • Adult Health Nurse Practitioner
  • Des Plaines, IL
National Provider Identifier
1679905558
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
277.000360 Issued in IL
Practice address
1221 Fargo Ave
Des Plaines
Des Plaines, IL 60018-2918
Phone
(773) 780-5966
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 277.000360 IL Primary

Addresses

Primary practice location

1221 Fargo Ave
Des Plaines
Des Plaines, IL 60018-2918

Mailing address

3000 N Halsted St
Suite 623
Chicago, IL 60657-5188
Phone (773) 327-6624

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
I20151230002118 IL Practitioner - Nurse Practitioner 4981906468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Rehabmedicine SCGroup PAC ID 8022115252, 9 clinicians

Practice addresses (Care Compare)

345 Executive Pkwy
Suite M4
Rockford, IL 61107-5291
Phone (847) 305-1954

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
18.33
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.000360ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Rehabmedicine SC CurrentSince Aug 21, 2024 Accepting new patients
Integrative Rehab Medicine, Inc Past Accepting new patients

Locations

345 Executive Pkwy
Ste M4
Rockford, IL 61107
Phone (815) 399-1141

4225 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (224) 456-6662

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19930/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1679905558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 623",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-327-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FARGO AVE",
            "address_2": "DES PLAINES",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182918",
            "telephone_number": "773-780-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "PAULA",
        "middle_name": "ANN WENK",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277.000360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.