Individual provider Active NPI

Michelle P Isacson, APRN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1760432157
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014439A Issued in IN
Practice address
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Phone
(888) 731-8994
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7718-33 WI
Family Nurse Practitioner 363LF0000X 7718-33 WI
Nurse Practitioner 363L00000X 71014439A IN Primary

Addresses

Primary practice location

111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597

Mailing address

14355 Miranda Way
Los Altos Hills, CA 94022-2032
Phone (888) 731-8994

Other identifiers 1

IdentifierTypeStateIssuer
1760432157MedicaidWI

Other names 1

  • Michelle Renee Pry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MI, OH, NY, IN, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20060912000258 IL Practitioner - Nurse Practitioner 3476557166 Reassigns benefits to 3 organizations
I20170814002134 WI Practitioner - Nurse Practitioner 3476557166 Reassigns benefits to 2 organizations
I20230627001046 MI Practitioner - Nurse Practitioner 3476557166 Reassigns benefits to 2 organizations
I20230630001855 OH Practitioner - Nurse Practitioner 3476557166 Reassigns benefits to 1 organization
I20231116000566 NY Practitioner - Nurse Practitioner 3476557166 Reassigns benefits to 1 organization
I20231221001855 IN Practitioner - Nurse Practitioner 3476557166 Reassigns benefits to 1 organization
I20250620001324 PA Practitioner - Nurse Practitioner 3476557166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7718WIMDClinical Social Worker
7718-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Mercy Health System Corporation CurrentSince Mar 25, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 25, 2019 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Feb 10, 2023 Accepting new patients
Pic Indiana PC CurrentSince Dec 4, 2023 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Minuteclinic Diagnostic of Wisconsin, LLC Family CurrentSince Jul 10, 2017 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Aug 1, 2023 Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

6140 N Broadway St
Chicago, IL 60660
Phone (224) 795-3521

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

1650 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 277-5044

Organizations & group practices 10

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1760432157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 MIRANDA WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940222032",
            "telephone_number": "888-731-8994",
            "fax_number": "888-732-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON BLVD STE 1700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043597",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISACSON",
        "first_name": "MICHELLE",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-03-15",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7718-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7718-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014439A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760432157",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PRY",
            "middle_name": "RENEE",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.