Individual provider Active NPI

Rana J Clarizio, PMNNP. CDCES .APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wheaton, IL
National Provider Identifier
1710756762
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209029361 Issued in IL
Practice address
1725 S Naperville Rd Ste 206
Wheaton, IL 60189-5855
Phone
(630) 653-6441
Fax
(630) 653-8409
NPI assigned
Jan 1, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209029361 IL Primary
Diabetes Educator Registered Nurse 163WD0400X 041285100 IL

Addresses

Primary practice location

1725 S Naperville Rd Ste 206
Wheaton, IL 60189-5855

Mailing address

1725 S Naperville Rd Ste 206
Wheaton, IL 60189-5855
Phone (630) 653-6441

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
I20240704000539 IL Practitioner - Nurse Practitioner 5799127114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Clinical ServicesGroup PAC ID 9739153347, 15 clinicians

Practice addresses (Care Compare)

1725 S Naperville Rd
Suite 206
Wheaton, IL 60189-5855
Phone (630) 653-6441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
041285100ILMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rad Gharavi MD PC CurrentSince May 1, 2024 Accepting new patients
Genesis Clinical Services CurrentSince Aug 2, 2024 Accepting new patients
Health Hub, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1909 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 750-7920

8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968

6551 North Ave
Oak Park, IL 60302
Phone (708) 445-0480

1725 S Naperville Rd
Ste 2
Wheaton, IL 60189

1725 S Naperville Rd
Ste 206
Wheaton, IL 60189
Phone (630) 653-6441

Organizations & group practices 3

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1710756762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD STE 206",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895855",
            "telephone_number": "630-653-6441",
            "fax_number": "630-653-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD STE 206",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895855",
            "telephone_number": "630-653-6441",
            "fax_number": "630-653-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARIZIO",
        "first_name": "RANA",
        "middle_name": "J",
        "credential": "PMNNP. CDCES .APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209029361",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041285100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.