Berenice Arellano, DNP APRN ACCNS-N NNP
Individual provider Active NPI Neonatal Nurse Practitioner · Oak Lawn, IL
NPI 1780450403 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1780450403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Nurse Practitioner 363LN0000X
- License
- 209029552 (IL)
- Practice address
- 4440 W 95TH St Ste 250N
Oak Lawn, IL 60453-2600 - Phone
- (847) 684-5722
- Fax
- (708) 684-1405
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502002764 | IL | Practitioner - Nurse Practitioner | 4688014905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209029552 | IL | MD | Neonatal Nurse Practitioner |
| 209027682 | IL | MD | Neonatal Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
4440 W 95th St
Ste 250N
Oak Lawn, IL 60453
Phone (708) 684-5722
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Clinical Nurse Specialist | 364SN0000X | 209027682 | IL | |
| Neonatal Nurse Practitioner | 363LN0000X | 209029552 | IL | Yes |
Addresses
Primary practice location
4440 W 95TH St Ste 250N
Oak Lawn, IL 60453-2600
Mailing address
29373 Network PL
Chicago, IL 60673-2600
Phone (847) 390-5900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | barellano270544@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Oak Lawn, IL
- Kiran Kumar Aravapalli
- Arc Healthcare Providers, LLC
- Silvia Margarita Ardila
- Mohamed Akram Arekat
- Lucia Arellano Duran
- Nikolai Arendovich
- Kathleen Mary Ares
- Mario Arevalo
- Bill Hernandez Arguden
- Aekarach Ariyachaipanich
All providers in Oak Lawn, IL · Neonatal Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.