Individual provider Active NPI

Anna Piper, NP

  • Nurse Practitioner
  • Channahon, IL
National Provider Identifier
1801823059
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209003094 Issued in IL
Practice address
27240 W Saxony Dr
Channahon, IL 60410
Phone
(815) 521-1500
Fax
(815) 467-9801
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 209003094 IL Primary
Emergency Medicine Physician 207P00000X 209-003094 IL

Addresses

Primary practice location

27240 W Saxony Dr
Channahon, IL 60410

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Other practice location 1

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

Other identifiers 2

IdentifierTypeStateIssuer
209003094OtherILIL LICENSE
309008031OtherILCDS

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
I20041228000157 IL Practitioner - Nurse Practitioner 9032177860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

100 Gore Rd
Morris, IL 60450-9466
Phone (815) 942-0545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-003094ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc CurrentSince Jan 1, 2016 Accepting new patients
Epic Group-Emergency Physicians an Illinois Concern S.C. Emergency Medicine CurrentSince Mar 27, 2010 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital Current Accepting new patients
Health Service Systems, Inc CurrentSince Jan 1, 2016 Accepting new patients
Fischer Mangold/Joliet Emergency Medicine Past Accepting new patients

Locations

27240 W Saxony Dr
Channahon, IL 60410
Phone (815) 521-1500

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337

100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919

725 School St
Ste A
Morris, IL 60450

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

Organizations & group practices 8

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 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801823059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27240 W SAXONY DR",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "60410",
            "telephone_number": "815-521-1500",
            "fax_number": "815-467-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W High St",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501463",
            "country_code": "US",
            "telephone_number": "815-942-2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPER",
        "first_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209003094",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "209-003094",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "209003094",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "309008031",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Channahon, IL

Sources for this page

Verify at the official NPI Registry.