Individual provider Active NPI

Michelle Naurecki, APN

  • Nurse Practitioner
  • Wauconda, IL
National Provider Identifier
1841718087
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209016464 Issued in IL
Practice address
431 W Liberty St
Wauconda, IL 60084
Phone
(847) 526-2151
Fax
(847) 526-2017
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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 209016464 IL Primary

Addresses

Primary practice location

431 W Liberty St
Wauconda, IL 60084

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 655-6748

Other practice location 1

534 Roxbury Rd
Rockford, IL 61107-5076
Phone (630) 986-9875

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
I20170928002817 IL Practitioner - Nurse Practitioner 4183999287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Specialists of Mount Prospect S CGroup PAC ID 8224166566, 16 clinicians
Family Medicine Specialists S.C.Group PAC ID 0042206252, 24 clinicians

Practice addresses (Care Compare)

3801 Running Brook Farm Blvd
Johnsburg, IL 60051-5425
Phone (815) 344-7741

4000 Route 173
Zion, IL 60099-5107
Phone (847) 731-9617

431 W Liberty St
Wauconda, IL 60084-2452
Phone (847) 526-2151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209016464ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists of Mount Prospect S C CurrentSince Jun 18, 2018 Accepting new patients
Family Medicine Specialists of Round Lake Incorporated S C CurrentSince Jun 18, 2018 Accepting new patients
Family Medicine Specialists, S.C. CurrentSince Jun 18, 2018 Accepting new patients

Locations

425 Lake St
Antioch, IL 60002
Phone (244) 538-9736

3801 Running Brook Farm Blvd
McHenry, IL 60051
Phone (815) 344-7741

2253 N Richmond Rd
McHenry, IL 60051
Phone (847) 526-2151

9700 N Main St
Richmond, IL 60071
Phone (815) 678-4181

2680 State Route 83
Round Lake Beach, IL 60073
Phone (224) 372-7780

604 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

431 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

909 Belvidere Rd
Waukegan, IL 60085
Phone (847) 244-4995

4000 Il Route 173
Zion, IL 60099
Phone (847) 731-8172

Interoperability endpoints

  • Direct secure messaging: michelle.naurecki@fms.eclinicaldirectplus.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.

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1841718087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "16306556748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "60084",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 Roxbury Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075076",
            "country_code": "US",
            "telephone_number": "630-986-9875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAURECKI",
        "first_name": "MICHELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

Verify at the official NPI Registry.