Active NPI
Alyssa Lynne Hogan, APN
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1750195087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209031420
- Practice address
- 6535 S Western Ave
Chicago, IL 60636-2410 - Phone
- (773) 778-7609
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209031420 | IL | Primary |
Addresses
Primary practice location
6535 S Western Ave
Chicago, IL 60636-2410
Mailing address
210 S Desplaines St FL 1
Chicago, IL 60661-5544
Phone (312) 654-2720
Other practice location 1
7037 S Stony Island Ave
Chicago, IL 60649-1905
Phone (312) 355-5590
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
210 S Desplaines St
FL 1
Chicago, IL 60661-5544
8831 S Constance Ave
Chicago, IL 60617-2955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209031420 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Nephrology, S.C. | Past | Accepting new patients |
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.
-
- Nephrology Physician
- Chicago, IL
- NPI 1184694259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1750195087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S DESPLAINES ST FL 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606615544",
"telephone_number": "312-654-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606362410",
"telephone_number": "773-778-7609"
}
],
"practiceLocations": [
{
"address_1": "7037 S Stony Island Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606491905",
"country_code": "US",
"telephone_number": "312-355-5590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGAN",
"first_name": "ALYSSA",
"middle_name": "LYNNE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-06",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209031420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.