Individual provider Active NPI

Moreen L Butterworth, APRN

  • Family Nurse Practitioner
  • Oswego, IL
National Provider Identifier
1750169371
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028012 Issued in IL
Practice address
4789 Route 71
Oswego, IL 60543-7415
Phone
(630) 692-5730
Fax
(630) 692-5731
NPI assigned
Sep 15, 2023
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209028012 IL Primary

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

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
I20231010003040 IL Practitioner - Nurse Practitioner 1355796483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP CurrentSince Nov 1, 2023 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush Copley Medical Group Past Accepting new patients
Copley Memorial Hospital Inc. PastSince Sep 17, 2023 Accepting new patients

Locations

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2000 Ogden Ave
Ste P50
Aurora, IL 60504

2121 Ridge Ave
Ste 101
Aurora, IL 60504
Phone (630) 820-7100

2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

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

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 1

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1750169371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE STE P050",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-978-6200",
            "fax_number": "630-499-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437415",
            "telephone_number": "630-692-5730",
            "fax_number": "630-692-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERWORTH",
        "first_name": "MOREEN",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.