Individual provider Active NPI

Nikki Marie West, APRN, FNP-BC

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1780211102
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.020069 Issued in IL
Practice address
1900 Silver Cross Blvd # D
New Lenox, IL 60451-9509
Phone
(815) 300-1591
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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 209.020069 IL Primary

Addresses

Primary practice location

1900 Silver Cross Blvd # D
New Lenox, IL 60451-9509

Mailing address

1900 Silver Cross Blvd # D
New Lenox, IL 60451-9509
Phone (815) 300-1591

Other practice location 1

1851 Silver Cross Blvd.
Ste. 275
New Lenox, IL 60451
Phone (815) 300-1591

Other names 1

  • Nikki Marie Insalaco Former name

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
I20200416002887 IL Practitioner - Nurse Practitioner 5496185308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.020069ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc CurrentSince Mar 7, 2020 Accepting new patients
Health Service Systems, Inc CurrentSince Mar 7, 2020 Accepting new patients

Locations

1900 Silver Cross Blvd
#D
New Lenox, IL 60451
Phone (815) 300-1591

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

1851 Silver Cross Blvd
Ste 275
New Lenox, IL 60451
Phone (815) 300-1591

1851 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-2727

Organizations & group practices 2

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1780211102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD # D",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD # D",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-1591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Silver Cross Blvd.",
            "address_2": "Ste. 275",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "60451",
            "country_code": "US",
            "telephone_number": "815-300-1591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "NIKKI",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "INSALACO",
            "middle_name": "MARIE",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.