Individual provider Active NPI

Andrea Denise Powell, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1689298267
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021507 Issued in IL
Practice address
3510 W 79TH St
Chicago, IL 60652-1430
Phone
(773) 978-0757
NPI assigned
May 30, 2020
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 209021507 IL Primary

Addresses

Primary practice location

3510 W 79TH St
Chicago, IL 60652-1430

Mailing address

3510 W 79TH St
Chicago, IL 60652-1430
Phone (773) 978-0757

Other practice location 1

5500 Hohman Ave Ste 2C
Hammond, IN 46320-1942
Phone (219) 937-9653

Other practice location 2

936 Central Park Ave
Flossmoor, IL 60422-2258
Phone (808) 348-1090

Other practice location 3

21660 W Field Pkwy
Deer Park, IL 60010-7265
Phone (999) 999-9999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apowell@direct.practicefusion.com Health Information Exchange (HIE) RUDYARD SMITH MD AND ASSOCIATES SC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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
I20200914002252 IN Practitioner - Nurse Practitioner 2668890252 Reassigns benefits to 1 organization
I20210617002649 IL Practitioner - Nurse Practitioner 2668890252 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1835 Dixie Hwy
Suite 104 BLDG B
Flossmoor, IL 60422

200 N Bryant Ave
Edmond, OK 73034-6273

303 N Jackson St
Morrison, IL 61240-3042

3510 W 79TH St
Chicago, IL 60652-1430

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

PO Box
Detroit, MI 48277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209021507ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Community Hospital District Current Accepting new patients
Nevada Health Centers, Inc CurrentSince Jul 15, 2024 Accepting new patients
Nevada Health Centers Inc. CurrentSince Jul 15, 2024 Accepting new patients
Wellpo Health CurrentSince Jul 31, 2022 Accepting new patients
Theoria Medical CurrentSince Jul 16, 2024 Accepting new patients
Vital Link Physician Group PLLC CurrentSince Sep 22, 2025 Accepting new patients
Nevada Health Centers, Inc Current Accepting new patients
Morrison Community Hospital District CurrentSince Jan 26, 2025 Accepting new patients
Trinity Medical Staffing LLC CurrentSince Nov 15, 2024 Accepting new patients
Morrison Community Hospital District Family CurrentSince Jan 26, 2025 Accepting new patients
American Medical Associates LLC CurrentSince Dec 15, 2020 Accepting new patients
Housecall Doctors PC Past Accepting new patients
Nevada Health Centers Inc. Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

6201 W Howard St
Ste 207
Niles, IL 60714
Phone (786) 897-7407

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

5500 Hohman Ave
Ste 2C
Hammond, IN 46320
Phone (219) 933-9500

9250 Columbia Ave
Ste 1F
Munster, IN 46321
Phone (219) 548-7503

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

618 W Musser St
Carson City, NV 89703
Phone (775) 445-3500

762 14th St
Elko, NV 89801
Phone (775) 738-5850

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

Interoperability endpoints

  • Direct secure messaging: andrea.powell.1@15486.direct.athenahealth.com
  • Direct secure messaging: apowell@direct.practicefusion.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1689298267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521430",
            "telephone_number": "773-978-0757",
            "fax_number": "773-978-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521430",
            "telephone_number": "773-978-0757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Hohman Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201942",
            "country_code": "US",
            "telephone_number": "219-937-9653",
            "fax_number": "219-937-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "936 Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "604222258",
            "country_code": "US",
            "telephone_number": "808-348-1090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21660 W Field Pkwy",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "IL",
            "postal_code": "600107265",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ANDREA",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-30",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apowell@direct.practicefusion.com",
            "affiliation": "Y",
            "endpointDescription": "EMR Messaging",
            "affiliationName": "RUDYARD SMITH MD AND ASSOCIATES SC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF, xml",
            "address_1": "3510 W 79th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606521430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.