Individual provider Active NPI

Rita Alexis Karones Yang, APRN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1801440433
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023566 Issued in IL
Practice address
3258 W 111TH St
Chicago, IL 60655-2729
Phone
(773) 629-8217
Fax
(773) 840-3182
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994682-NP CO
Family Nurse Practitioner 363LF0000X 209023566 IL Primary

Addresses

Primary practice location

3258 W 111TH St
Chicago, IL 60655-2729

Mailing address

3258 W 111TH St
Chicago, IL 60655-2729
Phone (773) 629-8217

Other practice location 1

3910 S Carefree Cir Ste C
Colorado Springs, CO 80917-3053
Phone (719) 599-5753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200122001581 CO Practitioner - Nurse Practitioner 0244665263
I20211011001616 IL Practitioner - Nurse Practitioner 0244665263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Sep 1, 2021 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1801440433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552729",
            "telephone_number": "773-629-8217",
            "fax_number": "773-840-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552729",
            "telephone_number": "773-629-8217",
            "fax_number": "773-840-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 S Carefree Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809173053",
            "country_code": "US",
            "telephone_number": "719-599-5753",
            "fax_number": "888-399-6476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "RITA",
        "middle_name": "ALEXIS KARONES",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994682-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.