Active NPI
Emmie Andrea Chen, M.D.
- Emergency Medicine Physician
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 48070-020
- Practice address
- 10400 75TH St
Kenosha, WI 53142-8323 - Phone
- (262) 948-5640
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 48070-020 | WI | Primary |
Addresses
Primary practice location
10400 75TH St
Kenosha, WI 53142-8323
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
3805B Spring St
Suite 230
Racine, WI 53405-1641
Phone (262) 687-4479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34671200 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | echen46960@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000
Hospital & facility affiliations
- Aurora Medical Center Kenosha
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48070-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Tri-County Emergency Physicians, LTD | Emergency Medicine | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Racine Emergency Physicians, S.C. | Emergency Medicine | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
1475 E Belvidere Rd
Grayslake, IL 60030
Phone (847) 535-8800
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
800 N Westmoreland Rd
Ste 102
Lake Forest, IL 60045
Phone (847) 295-1300
660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
Interoperability endpoints
- echen46960@direct.myadvocateaurora.org
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Emergency Medicine Physician
- Barrington, IL
- NPI 1700810470
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Emergency Medicine Physician
- Racine, WI
- NPI 1184654121
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1699764068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 75TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428323",
"telephone_number": "262-948-5640"
}
],
"practiceLocations": [
{
"address_1": "3805B Spring St",
"address_2": "Suite 230",
"address_purpose": "LOCATION",
"city": "Racine",
"state": "WI",
"postal_code": "534051641",
"country_code": "US",
"telephone_number": "262-687-4479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "EMMIE",
"middle_name": "ANDREA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "48070-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34671200",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "echen46960@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3805B Spring St",
"address_2": "Suite 230",
"city": "Racine",
"state": "WI",
"country_code": "US",
"postal_code": "534051641",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3805B Spring St",
"address_2": "Suite 230",
"city": "Racine",
"state": "WI",
"country_code": "US",
"postal_code": "534051641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.