Moreen L Butterworth, APRN
Individual provider Active NPI Family Nurse Practitioner · Oswego, IL
NPI 1750169371 · NPPES record last updated Sep 15, 2023
Key facts
- NPI
- 1750169371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209028012 (IL)
- Practice address
- 4789 Route 71
Oswego, IL 60543-7415 - Phone
- (630) 692-5730
- Fax
- (630) 692-5731
- NPI assigned
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rush University Medical Group
Rush-Copley Medical Group NFP
Practice addresses (Care Compare)
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
4789 State Route 71
Oswego, IL 60543-7415
Phone (630) 898-5969
Hospital & facility affiliations
- Copley Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231010003040 | IL | Practitioner - Nurse Practitioner | 1355796483 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209028012 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Center | Current |
Accepting new patients | |
| Rush University Medical Group | Current |
Accepting new patients | |
| Rush-Copley Medical Group, NFP | Current |
Accepting new patients | |
| Copley Memorial Hospital Inc. | Past |
Accepting new patients | |
| Rush Copley Medical Group | Past | Accepting new patients |
Locations
2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190
2000 Ogden Ave
Ste P50
Aurora, IL 60504
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758
2121 Ridge Ave
Ste 101
Aurora, IL 60504
Phone (630) 820-7100
1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404
1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1611
Chicago, IL 60675
4789 State Route 71
Oswego, IL 60543
Phone (630) 692-5730
1100 W Veterans Pkwy
Ste 200
Yorkville, IL 60560
Phone (630) 236-4270
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209028012 | IL | Yes |
Addresses
Primary practice location
4789 Route 71
Oswego, IL 60543-7415
Mailing address
2000 Ogden Ave Ste P050
Aurora, IL 60504-7222
Phone (630) 978-6200
Other providers in Oswego, IL
- Kristin Michelle Buddin
- Julia A Burban
- Mindy Burkhamer
- Stephanie Burl
- Audrey Burris
- Marsha Molnar Buvary
- Lauren Faith Buzzard
- Gretchen M Byrd
- Kristy Cahill
- Simone Bolivar Cain
All providers in Oswego, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.