Individual provider Active NPI

Yoand Urquia Mora

  • Gerontology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1699360891
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.022950 Issued in IL
Practice address
917 W Eastwood Ave Apt 605
Chicago, IL 60640-6603
Phone
(312) 678-5193
NPI assigned
Mar 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.022950 IL Primary

Addresses

Primary practice location

917 W Eastwood Ave Apt 605
Chicago, IL 60640-6603

Mailing address

917 W Eastwood Ave Apt 605
Chicago, IL 60640-6603
Phone (312) 678-5193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220504000806 IL Practitioner - Nurse Practitioner 8820485204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

1401 N California Ave
Chicago, IL 60622-1602
Phone (888) 705-8722

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.022950ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Feb 3, 2022 Accepting new patients
Midwest Post Acute Care Aco PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

716 18th St
Charleston, IL 61920
Phone (217) 345-7054

5888 N Ridge Ave
Chicago, IL 60660
Phone (773) 769-2626

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

1401 N California Ave
Chicago, IL 60622
Phone (773) 384-7320

10935 S Halsted St
Chicago, IL 60628
Phone (773) 926-2000

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

6800 Joliet Rd
Indian Head Park, IL 60525
Phone (708) 246-8500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1699360891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W EASTWOOD AVE APT 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406603",
            "telephone_number": "312-678-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W EASTWOOD AVE APT 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406603",
            "telephone_number": "312-678-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUIA MORA",
        "first_name": "YOAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.022950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.