Individual provider Active NPI

Portia Cochrane, FNP-BC

  • Family Nurse Practitioner
  • Crystal Lake, IL
National Provider Identifier
1710497987
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016275 Issued in IL
Practice address
525 E Congress Pkwy Ste 350
Crystal Lake, IL 60014-6271
Phone
(815) 479-7490
Fax
(815) 455-2654
NPI assigned
Oct 2, 2017
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.016275 IL Primary

Addresses

Primary practice location

525 E Congress Pkwy Ste 350
Crystal Lake, IL 60014-6271

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

800 Devon Ave
Park Ridge, IL 60068-4760
Phone (800) 323-8622

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pcochrane219118@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 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
I20180502000358 IL Practitioner - Nurse Practitioner 6406110261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.016275ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Family CurrentSince May 31, 2023 Accepting new patients
Transitions Home Medical Group PLLC CurrentSince Feb 2, 2023 Accepting new patients

Locations

5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

2013 Midwest Rd
Oak Brook, IL 60523
Phone (630) 495-0220

128 S East St
Unit 1109
Crown Point, IN 46308

Interoperability endpoints

  • Direct secure messaging: pcochrane219118@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1710497987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E CONGRESS PKWY STE 350",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146271",
            "telephone_number": "815-479-7490",
            "fax_number": "815-455-2654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Devon Ave",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600684760",
            "country_code": "US",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRANE",
        "first_name": "PORTIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcochrane219118@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 E Congress Pkwy Ste 350",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600146271",
            "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": "525 E Congress Pkwy Ste 350",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600146271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.