Individual provider Active NPI

Natasha Rollins, NP

  • Family Nurse Practitioner
  • Chicago Heights, IL
National Provider Identifier
1780454819
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029028 Issued in IL
Practice address
1400 Otto Blvd
Chicago Heights, IL 60411-3871
Phone
(708) 733-7200
Fax
(708) 733-7222
NPI assigned
Jan 9, 2024
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209029028 IL
Family Nurse Practitioner 363LF0000X 209029028 IL Primary

Addresses

Primary practice location

1400 Otto Blvd
Chicago Heights, IL 60411-3871

Mailing address

35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800

Other practice location 1

500 Monroe Street
Suite 1300
Chicago, IL 60661
Phone (312) 600-5994

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
I20250604000971 IL Practitioner - Nurse Practitioner 9436694098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Otto Blvd
Chicago Heights, IL 60411-3871
Phone (317) 528-4800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209029028ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC Current Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince May 18, 2025 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

1400 Otto Blvd
Sauk Village, IL 60411
Phone (708) 709-2030

Interoperability endpoints

  • Direct secure messaging: natasha.rollins.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 3

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1780454819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35318 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781353",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OTTO BLVD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113871",
            "telephone_number": "708-733-7200",
            "fax_number": "708-733-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Monroe Street",
            "address_2": "Suite 1300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60661",
            "country_code": "US",
            "telephone_number": "312-600-5994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "NATASHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209029028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.