Individual provider Active NPI

Emilyn Ann Pollack, APN

  • Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1801378229
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0037046 Issued in OH
Practice address
133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661
Phone
(331) 231-6200
Fax
(331) 231-6201
NPI assigned
Sep 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-018681 IL
Nurse Practitioner 363L00000X 15487-33 WI
Family Nurse Practitioner 363LF0000X 209.018681 IL
Nurse Practitioner 363L00000X APRN.CNP.0037046 OH Primary

Addresses

Primary practice location

133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661

Mailing address

133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661
Phone (331) 231-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190919001385 IL Practitioner - Nurse Practitioner 4082954409 Reassigns benefits to 3 organizations
I20240402001138 WI Practitioner - Nurse Practitioner 4082954409 Reassigns benefits to 2 organizations
I20240806001952 OH Practitioner - Nurse Practitioner 4082954409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, shared by 6 NPIs, 166 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Vituity-Wisconsin Em SCGroup PAC ID 2466814538, 56 clinicians

Practice addresses (Care Compare)

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 433-0111

Hospital & facility affiliations

  • Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097
  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-018681ILMDNurse Practitioner
209.018681ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiovascular Institute SC CurrentSince Sep 27, 2021 Accepting new patients
Vituity-Wisconsin Em SC CurrentSince Mar 1, 2025 Accepting new patients
Cep America - Illinois, LLP CurrentSince Aug 29, 2022 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Emergency Professional Services, Inc. Nurse Practitioner CurrentSince Jul 12, 2024 Accepting new patients
Mercy Emergency Care Services, Inc. Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince Aug 10, 2019 Accepting new patients
Cepamerica Illinois LLP CurrentSince Aug 29, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Vituity-Wisconsin Em SC CurrentSince Mar 1, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

29980 Network Pl
Chicago, IL 60673

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1801378229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "EMILYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-018681",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "15487-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018681",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0037046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.