Individual provider Active NPI

Erica Callard, APN

  • Adult Health Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1831520949
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.011030 Issued in IL
Practice address
1555 Barrington Rd
Suite 210 BLDG One
Hoffman Estates, IL 60169-1019
Phone
(847) 885-3500
Fax
(847) 285-1871
NPI assigned
Nov 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.011030 IL Primary

Addresses

Primary practice location

1555 Barrington Rd
Suite 210 BLDG One
Hoffman Estates, IL 60169-1019

Mailing address

1555 Barrington Rd
Suite 210 BLDG One
Hoffman Estates, IL 60169-1019
Phone (847) 885-3500

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
I20140123000016 IL Practitioner - Nurse Practitioner 6608004569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Internal Medicine Clinic IncGroup PAC ID 1355522061, 2 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Suite 210
Hoffman Estates, IL 60169-1063
Phone (847) 885-3500

Hospital & facility affiliations

  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.011030ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Internal Medicine Clinic Inc CurrentSince Nov 30, 2013 Accepting new patients

Locations

Dept 4989
Carol Stream, IL 60122

1555 N Barrington Rd
Ste 410
Hoffman Estates, IL 60169
Phone (847) 781-1894

1555 N Barrington Rd
Ste 210
Hoffman Estates, IL 60169
Phone (847) 843-1100

Organizations & group practices 1

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 3

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": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1831520949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "SUITE 210 BLDG ONE",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-885-3500",
            "fax_number": "847-285-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "SUITE 210 BLDG ONE",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-885-3500",
            "fax_number": "847-285-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLARD",
        "first_name": "ERICA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-29",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.011030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.