Active NPI
Andrea Denise Powell, FNP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021507
- Practice address
- 3510 W 79TH St
Chicago, IL 60652-1430 - Phone
- (773) 978-0757
- NPI assigned
- May 30, 2020
- Last updated
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209021507 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Community Hospital District | Current | Accepting new patients | |
| Nevada Health Centers, Inc | Current | Accepting new patients | |
| Nevada Health Centers Inc. | Current | Accepting new patients | |
| Wellpo Health | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Vital Link Physician Group PLLC | Current | Accepting new patients | |
| Nevada Health Centers, Inc | Current | Accepting new patients | |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Trinity Medical Staffing LLC | Current | Accepting new patients | |
| Morrison Community Hospital District | Family | Current | Accepting new patients |
| American Medical Associates LLC | Current | 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
- andrea.powell.1@15486.direct.athenahealth.com
- 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.
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Family Medicine Physician
- Morrison, IL
- NPI 1700907250
-
- Internal Medicine Physician
- Harrisburg, IL
- NPI 1770103426
-
- Family Medicine Physician
- Niles, IL
- NPI 1679311336
-
- Internal Medicine Physician
- Munster, IN
- NPI 1942303870
-
- Primary Care Clinic/Center
- Flossmoor, IL
- NPI 1518693951
-
dba Nevada Health Centers at Virginia City
- Federally Qualified Health Center (FQHC)
- Virginia City, NV
- NPI 1417321902
-
dba Pahrump Family Health Center
- Federally Qualified Health Center (FQHC)
- Pahrump, NV
- NPI 1326872334
-
- Federally Qualified Health Center (FQHC)
- Carson City, NV
- NPI 1679649487
-
- Podiatrist
- Merrillville, IN
- NPI 1407278377
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.