Individual provider Active NPI

Nicholas Felesena, PA

  • Medical Physician Assistant
  • Glendale Heights, IL
National Provider Identifier
1689325250
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone
(630) 735-1400
NPI assigned
Jan 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

335 E Army Trail Rd
Glendale Heights, IL 60139-1755

Mailing address

335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone (630) 735-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, PA, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220414002453 IL Practitioner - Physician Assistant 0345636577 Reassigns benefits to 2 organizations
I20240213001588 NY Practitioner - Physician Assistant 0345636577 Reassigns benefits to 1 organization
I20240302000105 PA Practitioner - Physician Assistant 0345636577 Reassigns benefits to 1 organization
I20240612002127 IN Practitioner - Physician Assistant 0345636577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1009 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 986-4200

1420 Busse Rd
Elk Grove Village, IL 60007-5324
Phone (847) 653-0142

1663 Belvidere Rd
Belvidere, IL 61008-9306
Phone (815) 544-0040

1690 W Lake St
Addison, IL 60101-1833
Phone (630) 283-6633

1840 N Richmond Rd
McHenry, IL 60051-5416
Phone (779) 704-3075

29 N Northwest Hwy
Palatine, IL 60067-5322
Phone (847) 931-5555

335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone (630) 735-1400

3475 S Alpine Rd
Rockford, IL 61109-2604
Phone (815) 874-8000

405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

7425 Barrington Rd
Hanover Park, IL 60133-2241
Phone (630) 823-0392

8630 W Golf Rd
Niles, IL 60714-5600
Phone (847) 299-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
031153NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients

Locations

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

Organizations & group practices 4

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1689325250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391755",
            "telephone_number": "630-735-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391755",
            "telephone_number": "630-735-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELESENA",
        "first_name": "NICHOLAS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

Verify at the official NPI Registry.