Individual provider Active NPI

Reena Dave, MSN, FNP-BC

  • Family Nurse Practitioner
  • Elk Grove Village, IL
National Provider Identifier
1689099004
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010922 Issued in IL
Practice address
901 Biesterfield Rd Ste 203
Elk Grove Village, IL 60007-7300
Phone
(847) 787-6426
NPI assigned
Feb 21, 2014
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 209010922 IL Primary

Addresses

Primary practice location

901 Biesterfield Rd Ste 203
Elk Grove Village, IL 60007-7300

Mailing address

901 Biesterfield Rd Ste 203
Elk Grove Village, IL 60007-7300
Phone (847) 787-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012002285 AZ Practitioner - Nurse Practitioner 4385876804 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010922ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Diabetes & Endocrinology PLC CurrentSince Sep 1, 2023 Accepting new patients
East Valley Diabetes & Endocrinology PLC CurrentSince Sep 1, 2023 Accepting new patients
Epic Medical, PLLC Past Accepting new patients

Locations

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297
Phone (480) 728-9531

9520 W Palm Ln
Ste 150A
Phoenix, AZ 85037
Phone (602) 584-5444

Organizations & group practices 3

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": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1689099004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD STE 203",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077300",
            "telephone_number": "847-787-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD STE 203",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077300",
            "telephone_number": "847-787-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "REENA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.