Individual provider Active NPI

Alissa B Noeska, APRN

  • Family Medicine Physician
  • Elgin, IL
National Provider Identifier
1710604822
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209026200 Issued in IL
Practice address
2350 Royal Blvd Ste 300
Elgin, IL 60123-4718
Phone
(847) 742-3120
Fax
(847) 742-4021
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209026200 IL Primary

Addresses

Primary practice location

2350 Royal Blvd Ste 300
Elgin, IL 60123-4718

Mailing address

2350 Royal Blvd Ste 300
Elgin, IL 60123-4718
Phone (847) 742-3120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wintersfamilypractice@direct.myezyaccess.com Direct

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
I20230119001823 IL Practitioner - Nurse Practitioner 7416328984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winters Family Practice PCGroup PAC ID 0143232785, 5 clinicians

Practice addresses (Care Compare)

2350 Royal Blvd
Suite 300
Elgin, IL 60123-4718
Phone (847) 742-3120

Hospital & facility affiliations

  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026200ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Practice SC CurrentSince May 1, 2023 Accepting new patients
Winters Family Practice PC Family Medicine CurrentSince Oct 20, 2022 Accepting new patients

Locations

1430 N Arlington Heights Rd
Ste 114
Arlington Heights, IL 60004
Phone (210) 201-2933

2350 Royal Blvd
Ste 300
Elgin, IL 60123
Phone (847) 742-3120

1661 Feehanville Dr
Ste 120
Mt Prospect, IL 60056
Phone (847) 305-8600

Interoperability endpoints

  • Direct secure messaging: alissa.noeska.1@31804.direct.athenahealth.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1710604822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD STE 300",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234718",
            "telephone_number": "847-742-3120",
            "fax_number": "847-742-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD STE 300",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234718",
            "telephone_number": "847-742-3120",
            "fax_number": "847-742-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOESKA",
        "first_name": "ALISSA",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209026200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wintersfamilypractice@direct.myezyaccess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Royal Blvd Ste 300",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.