Individual provider Active NPI

Ann Wisch, APN

  • Family Nurse Practitioner
  • Frankfort, IL
National Provider Identifier
1750079596
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026455 Issued in IL
Practice address
19937 S Edinburgh LN
Frankfort, IL 60423-6923
Phone
(708) 631-4722
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.026455 IL
Family Nurse Practitioner 363LF0000X 209.026455 IL Primary

Addresses

Primary practice location

19937 S Edinburgh LN
Frankfort, IL 60423-6923

Mailing address

19937 S Edinburgh LN
Frankfort, IL 60423-6923
Phone (708) 631-4722

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
I20231023001038 IL Practitioner - Nurse Practitioner 6002276029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asad Zaman MD SCGroup PAC ID 5092744847, 9 clinicians

Practice addresses (Care Compare)

12800 S Ridgeland Ave
Suite E
Palos Heights, IL 60463-2391
Phone (708) 429-3700

15614 S Harlem Ave
Suite F
Orland Park, IL 60462-4401
Phone (708) 429-3700

Hospital & facility affiliations

  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.026455ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asad Zaman MD SC CurrentSince Aug 1, 2023 Accepting new patients

Locations

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

6700 167th St
Tinley Park, IL 60477
Phone (708) 429-3700

Organizations & group practices 1

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 4

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1750079596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19937 S EDINBURGH LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236923",
            "telephone_number": "708-631-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19937 S EDINBURGH LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236923",
            "telephone_number": "708-631-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCH",
        "first_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.026455",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.