Individual provider Active NPI

Janis Marie Quinn, RN, MSN, CPNP-AC

  • Critical Care Pediatric Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1700115235
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
209.007901 Issued in IL
Practice address
225 E. Chicago Ave
Chicago, IL 60611-2605
Phone
(312) 227-3700
Fax
(312) 227-9603
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 209.007901 IL Primary

Addresses

Primary practice location

225 E. Chicago Ave
Chicago, IL 60611-2605

Mailing address

225 E. Chicago Ave
Box 98
Chicago, IL 60611-2605
Phone (312) 227-3700

Other names 1

  • Mrs. Janis Marie Rusin Former name

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
I20250508001481 IL Practitioner - Nurse Practitioner 3375060726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.007901ILMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center, Inc CurrentSince Feb 2, 2025 Accepting new patients
Erie Family Health Center Inc CurrentSince Feb 2, 2025 Accepting new patients
Lurie Children'S Medical Group Inc Past Accepting new patients
Lurie Children'S Medical Group, LLC Past Accepting new patients

Locations

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

225 E Chicago Ave
Fl 2
Chicago, IL 60611

225 E Chicago Ave
#98
Chicago, IL 60611

1504 S Albany Ave
Chicago, IL 60623

Interoperability endpoints

  • Direct secure messaging: janis.quinn.1@3569.direct.athenahealth.com
  • Direct secure messaging: jquinn740669@direct.ochin.org

Organizations & group practices 4

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": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1700115235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E. CHICAGO AVE",
            "address_2": "BOX 98",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112605",
            "telephone_number": "312-227-3700",
            "fax_number": "312-227-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E. CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112605",
            "telephone_number": "312-227-3700",
            "fax_number": "312-227-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "JANIS",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "IL",
            "license": "209.007901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "RUSIN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RN, MSN, CPNP-AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.