Individual provider Active NPI

Nadine Wengroff, DNP, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Northfield, IL
National Provider Identifier
1700024767
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.001904 Issued in IL
Practice address
405 Central Ave
Northfield, IL 60093-3006
Phone
(847) 441-5600
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.001904 IL Primary

Addresses

Primary practice location

405 Central Ave
Northfield, IL 60093-3006

Mailing address

404 Wilshire Dr W
Wilmette, IL 60091-3154
Phone (847) 514-3226

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
I20171204002038 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 5799042503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uhs of Hartgrove, IncGroup PAC ID 3173611738, 15 clinicians

Practice addresses (Care Compare)

5730 W Roosevelt Rd
Hartgrove Hospital
Chicago, IL 60644-1580
Phone (773) 413-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
277.001904ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hartgrove, Inc CurrentSince Feb 1, 2020 Accepting new patients
Trilogy Inc. Current Accepting new patients
Trilogy, Inc. CurrentSince Jun 22, 2020 Accepting new patients
The Josselyn Center NFP CurrentSince Sep 11, 2023 Accepting new patients
Uhs of Hartgrove, Inc. Current Accepting new patients
The Josselyn Center NFP CurrentSince Sep 11, 2023 Accepting new patients
Uhs of Hartgrove, Inc CurrentSince Feb 1, 2020 Accepting new patients
Trilogy, Inc. CurrentSince Jun 22, 2020 Accepting new patients
The Josselyn Center NFP Past Accepting new patients

Locations

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

1400 W Greenleaf Ave
Chicago, IL 60626
Phone (773) 382-4061

3737 W Lawrence Ave
Ste C
Chicago, IL 60625

1135 Skokie Blvd
Northbrook, IL 60062
Phone (773) 430-3351

405 Central Ave
Northfield, IL 60093
Phone (847) 441-5603

Interoperability endpoints

  • Direct secure messaging: nwengroff10582@direct.rush.rush-health.com

Organizations & group practices 9

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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1700024767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WILSHIRE DR W",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913154",
            "telephone_number": "847-514-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CENTRAL AVE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933006",
            "telephone_number": "847-441-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGROFF",
        "first_name": "NADINE",
        "credential": "DNP, PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.001904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.