Individual provider Active NPI

Alicia Marie Belcher, APRN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1699134247
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277001741 Issued in IL
Practice address
916 W Belmont Ave
Chicago, IL 60657-4427
Phone
(773) 665-4400
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 277001741 IL Primary

Addresses

Primary practice location

916 W Belmont Ave
Chicago, IL 60657-4427

Mailing address

916 W Belmont Ave
Chicago, IL 60657-4427
Phone (773) 665-4400

Other practice location 1

333 N Michigan Ave Ste 901
Chicago, IL 60601-3735
Phone (312) 702-5236

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ab@realignmed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17749 65TH Ave
Tinley Park, IL 60477-4370

7231 W 103Rd St
Palos Hills, IL 60465-2064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Side Rejuvenation LLC Family CurrentSince Nov 19, 2023 Accepting new patients
Wellness Society LLC Multi-Specialty PastSince Jun 2, 2024 Accepting new patients

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1699134247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574427",
            "telephone_number": "773-665-4400",
            "fax_number": "773-665-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574427",
            "telephone_number": "773-665-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Michigan Ave Ste 901",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606013735",
            "country_code": "US",
            "telephone_number": "312-702-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ab@realignmed.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "persoanl",
            "address_1": "916 W Belmont Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.