Individual provider Active NPI

Tonia Samuel, APRN-CNP

  • Acute Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1730551425
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209030618 Issued in IL
Practice address
1009 S. Wood St
Chicago, IL 60612-4493
Phone
(312) 996-6771
NPI assigned
Oct 21, 2015
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209030618 IL Primary
Family Nurse Practitioner 363LF0000X 103325 OK

Addresses

Primary practice location

1009 S. Wood St
Chicago, IL 60612-4493

Mailing address

1009 S Wood St
Chicago, IL 60612-3747

Other practice location 1

3400 NW Expressway
Building C, Suite 200
Oklahoma City, OK 73112-4493
Phone (405) 713-9900

Other names 1

  • Tonia Jacob Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151215000535 OK Practitioner - Nurse Practitioner 1759682859 Reassigns benefits to 1 organization
I20241211000526 IL Practitioner - Nurse Practitioner 1759682859 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 355-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209030618ILMDAcute Care Nurse Practitioner
103325OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Nov 20, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 20, 2024 Accepting new patients
Integris Cardiovascular Physicians LLC CurrentSince Dec 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 N West Expy
Ste 300
Oklahoma City, OK 73112
Phone (405) 713-9900

3400 NW Expressway St
Ste 200
Oklahoma City, OK 73112
Phone (405) 713-9900

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • Direct secure messaging: tjacob180435@uihealth.direct-ci.com
  • Direct secure messaging: tjacob23456@direct.integrisok.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1730551425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S. WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124493",
            "telephone_number": "312-996-6771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 NW Expressway",
            "address_2": "Building C, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124493",
            "country_code": "US",
            "telephone_number": "405-713-9900",
            "fax_number": "405-713-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "TONIA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209030618",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "103325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONIA",
            "last_name": "JACOB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.