Individual provider Active NPI

Ada Yanci Lemus I, FNP

  • Family Nurse Practitioner
  • Berwyn, IL
National Provider Identifier
1821695487
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021679 Issued in IL
Practice address
6447 Cermak Rd
Berwyn, IL 60402-2311
Phone
(773) 254-1400
Fax
(708) 484-5413
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277003565 IL
Family Nurse Practitioner 363LF0000X 209021679 IL Primary

Addresses

Primary practice location

6447 Cermak Rd
Berwyn, IL 60402-2311

Mailing address

4931 W Ainslie St
Chicago, IL 60630-2449
Phone (312) 523-9903

Other practice location 1

2355 S Western Ave
Chicago, IL 60608-3837
Phone (773) 254-1400

Other practice location 2

1276 N Clybourn Ave
Chicago, IL 60610-2089
Phone (312) 337-1073

Other practice location 3

966 W 21st St
Chicago, IL 60608-4511
Phone (773) 254-1400

Other practice location 4

371 W Northwest Hwy
Palatine, IL 60067-2414
Phone (847) 443-5588

Other names 1

  • Ada Yanci Lemus Professional name

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
I20221207002688 IL Practitioner - Nurse Practitioner 9638548092 Reassigns benefits to 1 organization

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
Alivio Medical Center, Inc.Group PAC ID 5698840924, 23 clinicians

Practice addresses (Care Compare)

2355 S Western Ave
Chicago, IL 60608-3837
Phone (773) 254-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209021679ILMDFamily Nurse Practitioner
277003565ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alivio Medical Center, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Alivio Medical Center, Inc. Current Accepting new patients
Alivio Medical Center, Inc. CurrentSince Oct 3, 2022 Accepting new patients

Locations

6447 Cermak Rd
Berwyn, IL 60402
Phone (773) 254-1400

2355 S Western Ave
Chicago, IL 60608
Phone (773) 254-1400

966 W 21st St
Chicago, IL 60608
Phone (773) 254-1400

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1821695487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 W AINSLIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302449",
            "telephone_number": "312-523-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022311",
            "telephone_number": "773-254-1400",
            "fax_number": "708-484-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606083837",
            "country_code": "US",
            "telephone_number": "773-254-1400",
            "fax_number": "773-650-1218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1276 N Clybourn Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606102089",
            "country_code": "US",
            "telephone_number": "312-337-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "966 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606084511",
            "country_code": "US",
            "telephone_number": "773-254-1400",
            "fax_number": "312-829-6842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 W Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600672414",
            "country_code": "US",
            "telephone_number": "847-443-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMUS",
        "first_name": "ADA",
        "middle_name": "YANCI",
        "name_suffix": "I",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADA",
            "last_name": "LEMUS",
            "middle_name": "YANCI",
            "credential": "FNP, PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.