Lydia Pelc, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209023787 Issued in IL

Practice address

1051 Essington Rd Ste 290
Joliet, IL 60435-2842

Phone

(815) 773-7827

NPI assigned

Aug 12, 2021

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gandhi Medical Consultants S CGroup PAC ID 9931454634, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Merit-based Incentive Payment System (MIPS)

Final score

9.06 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

30.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gandhi Medical Consultants SC

  • Family Medicine Physician
  • Joliet, IL
  • NPI 1073003844

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1770258741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SPRINGWOOD DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318986",
            "telephone_number": "815-353-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD STE 290",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352842",
            "telephone_number": "815-773-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELC",
        "first_name": "LYDIA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209023787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl of Joliet LLC
• Jill Pearson
• Pediatric Adult Rehabilitation Associates (Speech Tree)
• Pediatric Adult Rehabilitation Associates (PARA's Peach Tree)
• Scott Pedziwiatr
• Bradley Pell, LAT
• Richard Robert Pellegrini, DDS
• Victoria Mary Pellettiere, PH.D.
• Nina Marie Pelsi, PA-C
• Schuyler A Perez de Salmeron, MSN APN ACCNS-AG

• Nurse Practitioner in Joliet, IL
• Providers in Joliet, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.