Individual provider Active NPI

Colleen Ann Scholl, NP

  • Nurse Practitioner
  • Mount Prospect, IL
National Provider Identifier
1821381500
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209008829 Issued in IL
Practice address
601 W Golf Rd Ste 105
Mount Prospect, IL 60056-4276
Phone
(847) 439-8780
Fax
(847) 439-8940
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209008829 IL Primary

Addresses

Primary practice location

601 W Golf Rd Ste 105
Mount Prospect, IL 60056-4276

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 575-5000

Other practice location 1

329 Remington Blvd Ste 105
Nephrology Associates of Northern Illinois
Bolingbrook, IL 60440-5894
Phone (630) 685-5699

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

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
I20110801000727 IL Practitioner - Nurse Practitioner 5496924813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Illinois LTDGroup PAC ID 2163328675, 117 clinicians

Practice addresses (Care Compare)

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209008829ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Jun 1, 2011 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Jun 1, 2011 Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients

Locations

329 Remington Blvd
Ste 105
Bolingbrook, IL 60440
Phone (630) 418-6601

3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

601 W Golf Rd
Ste 105
Mt Prospect, IL 60056
Phone (630) 521-3132

120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

855 Madison St
Oak Park, IL 60302
Phone (708) 386-1000

Interoperability endpoints

  • Direct secure messaging: cscholl49733@direct.acumenmd.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1821381500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-575-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W GOLF RD STE 105",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564276",
            "telephone_number": "847-439-8780",
            "fax_number": "847-439-8940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 Remington Blvd Ste 105",
            "address_2": "Nephrology Associates of Northern Illinois",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604405894",
            "country_code": "US",
            "telephone_number": "630-685-5699",
            "fax_number": "630-226-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "COLLEEN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209008829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.