Individual provider Active NPI

Lina Aelita Pacevicius, NP-C

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1750749503
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013275 Issued in IL
Practice address
1333 Butterfield Rd Ste 130
Downers Grove, IL 60515-5641
Phone
(630) 371-0133
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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 209.013275 IL Primary

Addresses

Primary practice location

1333 Butterfield Rd Ste 130
Downers Grove, IL 60515-5641

Mailing address

1333 Butterfield Rd
Ste 130
Downers Grove, IL 60515-5641
Phone (630) 371-0133

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
I20160621000376 IL Practitioner - Nurse Practitioner 5294026373 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Post-Acute Medical Services 1 PCGroup PAC ID 6305112103, 20 clinicians

Practice addresses (Care Compare)

2425 E 71St St
Chicago, IL 60649-2612
Phone (773) 721-5000

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013275ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. CurrentSince May 3, 2016 Accepting new patients
CS Pacs 3 Il, S.C. CurrentSince Feb 1, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Illinois, P.C. CurrentSince May 3, 2016 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Sep 27, 2024 Accepting new patients

Locations

2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000

2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013

1333 Butterfield Rd
Ste 130
Downers Grove, IL 60515
Phone (630) 371-0133

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

1006 N Lowden Rd
Mount Carroll, IL 61053
Phone (815) 244-7715

6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1001 N Greenwood Ave
Park Ridge, IL 60068
Phone (847) 685-2805

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1750749503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BUTTERFIELD RD",
            "address_2": "STE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155641",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BUTTERFIELD RD STE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155641",
            "telephone_number": "630-371-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACEVICIUS",
        "first_name": "LINA",
        "middle_name": "AELITA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.