Individual provider Active NPI

Eileen A Farmer, APRN, PMHNP-BC

  • Nurse Practitioner
  • Lisle, IL
National Provider Identifier
1700769338
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.032631 Issued in IL
Practice address
2443 Warrenville Rd Ste 500
Lisle, IL 60532-4356
Phone
(224) 463-1071
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.032631 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.032631 IL

Addresses

Primary practice location

2443 Warrenville Rd Ste 500
Lisle, IL 60532-4356

Mailing address

1100 Central Ave Ste F
Wilmette, IL 60091-2666
Phone (312) 600-8533

Other practice location 1

1100 Central Ave Ste F
Wilmette, IL 60091-2666
Phone (312) 600-8533

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
I20251125002808 IL Practitioner - Nurse Practitioner 0547752677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Residential Hospice Illinois LLCGroup PAC ID 4486800109, 4 clinicians

Practice addresses (Care Compare)

2443 Warrenville Rd
Suite 500
Lisle, IL 60532-4356
Phone (855) 902-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.032631ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Hospice Illinois, LLC CurrentSince Nov 1, 2025 Accepting new patients
Residential Hospice Illinois, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2443 Warrenville Rd
Ste 500
Lisle, IL 60532
Phone (844) 275-4430

5440 Corporate Dr
Ste 400
Troy, MI 48098
Phone (866) 902-5854

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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1700769338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE STE F",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912666",
            "telephone_number": "312-600-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 WARRENVILLE RD STE 500",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324356",
            "telephone_number": "224-463-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Central Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912666",
            "country_code": "US",
            "telephone_number": "312-600-8533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER",
        "first_name": "EILEEN",
        "middle_name": "A",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.032631",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.032631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.