Individual provider Active NPI

Nimat Akorede

  • Psychiatric/Mental Health Nurse Practitioner
  • Libertyville, IL
National Provider Identifier
1760918403
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277002393 Issued in IL
Practice address
18698 W Peterson Rd
Libertyville, IL 60048-1052
Phone
(847) 377-8855
NPI assigned
May 1, 2017
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002393 IL Primary
Registered Nurse 163W00000X 041402048 IL

Addresses

Primary practice location

18698 W Peterson Rd
Libertyville, IL 60048-1052

Mailing address

3575 Grand Ave Ste a
Gurnee, IL 60031-3774
Phone (224) 277-1645

Other practice location 1

3575 Grand Ave Ste A
Gurnee, IL 60031-3774
Phone (224) 277-1645

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
I20200312000001 IL Practitioner - Nurse Practitioner 6305274036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LakeGroup PAC ID 7214838861, 42 clinicians

Practice addresses (Care Compare)

18698 W Peterson Rd
Libertyville, IL 60048-1052
Phone (847) 377-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041402048ILMDRegistered Nurse
277002393ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Feb 3, 2020 Accepting new patients
Zee's Healthcare LLC CurrentSince Jan 1, 2023 Accepting new patients
County of Lake CurrentSince Feb 3, 2020 Accepting new patients

Locations

3575 Grand Ave
Ste A
Gurnee, IL 60031
Phone (224) 277-1645

18698 W Peterson Rd
Libertyville, IL 60048
Phone (847) 377-4871

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8122

Interoperability endpoints

  • Direct secure messaging: nimat.akorede.p1@direct.lakecountyil.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1760918403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 GRAND AVE STE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313774",
            "telephone_number": "224-277-1645",
            "fax_number": "847-603-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18698 W PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481052",
            "telephone_number": "847-377-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Grand Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313774",
            "country_code": "US",
            "telephone_number": "224-277-1645",
            "fax_number": "847-603-1921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKOREDE",
        "first_name": "NIMAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002393",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041402048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.