Individual provider Active NPI

Guysela Youbi Nguemegni, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1790344018
Registry record updated Sep 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019616 Issued in IL
Practice address
5901 N Cicero Ave Ste 207
Chicago, IL 60646-5718
Phone
(331) 425-0974
NPI assigned
Jun 10, 2019
Last updated
Sep 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 209.019616 IL Primary

Addresses

Primary practice location

5901 N Cicero Ave Ste 207
Chicago, IL 60646-5718

Mailing address

1305 Randall Rd
Crystal Lake, IL 60014-8601
Phone (815) 356-0386

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
I20190904003195 IL Practitioner - Nurse Practitioner 0042549818 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.019616ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonycares Complete Health Services, PLLC CurrentSince Dec 15, 2025 Accepting new patients
Vpa PC CurrentSince Oct 11, 2025 Accepting new patients
Chicago Medical Group, Inc. CurrentSince Jul 20, 2019 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Apr 1, 2020 Accepting new patients
Matrix Medical Plus CurrentSince Jul 1, 2025 Accepting new patients
Vpa PC CurrentSince Oct 11, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 22, 2023 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

1305 Randall Rd
Crystal Lake, IL 60014
Phone (815) 356-0386

520 N Western Ave
Lake Forest, IL 60045
Phone (847) 739-3111

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/683/brand/4/csg/61/fhir/r4

Organizations & group practices 7

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1790344018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 RANDALL RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148601",
            "telephone_number": "815-356-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465718",
            "telephone_number": "331-425-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUEMEGNI",
        "first_name": "GUYSELA",
        "middle_name": "YOUBI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.