Active NPI
Portia Cochrane, FNP-BC
- Family Nurse Practitioner
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.016275
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016275 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applebaum Physiatry PLLC | Family | Current | Accepting new patients |
| Transitions Home Medical Group PLLC | Current | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Family
-
- Nurse Practitioner
- Elk Grove Village, IL
- NPI 1871890657
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.