Individual provider Active NPI

Alyssa Lynne Hogan, APN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1750195087
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209031420 Issued in IL
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

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260401003175 IL Practitioner - Nurse Practitioner 8921583477 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
209031420ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.