Individual provider Active NPI

Anna Burcenski, FNP-C

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1821636879
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020650 Issued in IL
Practice address
412 63Rd St
Downers Grove, IL 60516-2000
Phone
(630) 969-7706
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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 209020650 IL Primary

Addresses

Primary practice location

412 63Rd St
Downers Grove, IL 60516-2000

Mailing address

412 63Rd St
Downers Grove, IL 60516-2000
Phone (630) 969-7706

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
I20200321000058 IL Practitioner - Nurse Practitioner 8022446269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

2363 63Rd St
Woodridge, IL 60517-1369
Phone (630) 716-7510

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020650ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc CurrentSince Feb 1, 2022 Accepting new patients
Oak Street Health Physicians Group, PC Family CurrentSince Feb 9, 2020 Accepting new patients
Adventist Health Partners,Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

6084 S Archer Ave
Chicago, IL 60638
Phone (708) 442-0221

1541 W Devon Ave
Chicago, IL 60660
Phone (312) 360-1983

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

412 63rd St
Downers Grove, IL 60516
Phone (630) 719-5470

2202 Essington Rd
Joliet, IL 60435
Phone (815) 726-2200

Interoperability endpoints

  • Direct secure messaging: aburcenski1709152@adventhealth.direct-ci.com

Organizations & group practices 4

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 5

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1821636879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 63RD ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "630-969-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 63RD ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "630-969-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCENSKI",
        "first_name": "ANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.