Individual provider Active NPI

Michelle Weronke, RN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1760903389
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023061368 Issued in IL
Practice address
219 W Chicago Ave
Chicago, IL 60654-5600
Phone
(312) 878-1945
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 178951 WI
Family Nurse Practitioner 363LF0000X 2023061368 IL Primary

Addresses

Primary practice location

219 W Chicago Ave
Chicago, IL 60654-5600

Mailing address

219 W Chicago Ave
Chicago, IL 60654-5600

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
I20240215001372 IL Practitioner - Nurse Practitioner 8628412806 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178951WIMDRegistered Nurse
2023061368ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palos Urgent Care PLLC CurrentSince Oct 18, 2024 Accepting new patients
Palos Medical Center PLLC CurrentSince Oct 16, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jan 1, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

219 W Chicago Ave
Chicago, IL 60654
Phone (312) 878-1945

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 4

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1760903389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545600",
            "telephone_number": "312-878-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERONKE",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "178951",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2023061368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.