Individual provider Active NPI

Michael Dante Trotsky, RN, WCN

  • Registered Nurse
  • Westchester, IL
National Provider Identifier
1699406116
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.347825 Issued in IL
Practice address
C/O Quality Wound Care, Inc., One Westbrook Corp CNTR
300
Westchester, IL 60154
Phone
(630) 881-3250
NPI assigned
Jun 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 2005465059 NJ
Registered Nurse 163W00000X 041.347825 IL Primary

Addresses

Primary practice location

C/O Quality Wound Care, Inc., One Westbrook Corp CNTR
300
Westchester, IL 60154

Mailing address

C/O Quality Wound Care, Inc., One Westbrook Corp CNTR
300
Westchester, IL 60154
Phone (630) 881-3250

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.347825ILMDRegistered Nurse
2005465059NJMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stepone Health Services PC Wound Care Current Accepting new patients
Stepone Health Services PC Current Accepting new patients

Locations

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1699406116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O QUALITY WOUND CARE, INC., ONE WESTBROOK CORP CNTR",
            "address_2": "300",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "630-881-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O QUALITY WOUND CARE, INC., ONE WESTBROOK CORP CNTR",
            "address_2": "300",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "630-881-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTSKY",
        "first_name": "MICHAEL",
        "middle_name": "DANTE",
        "credential": "RN, WCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NJ",
            "license": "2005465059",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.347825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.