Individual provider Active NPI

Maria Anderson

  • Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1841760535
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209078329 Issued in IL
Practice address
7055 High Grove Blvd
Burr Ridge, IL 60527-7628
Phone
(630) 371-9980
Fax
(630) 371-1555
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 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 209078329 IL Primary

Addresses

Primary practice location

7055 High Grove Blvd
Burr Ridge, IL 60527-7628

Mailing address

2221 Rosehill CT
Naperville, IL 60565-3347
Phone (708) 370-3054

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
I20190218001794 IL Practitioner - Nurse Practitioner 4587902580 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

7055 High Grove Blvd
Suite 100
Burr Ridge, IL 60527-7625
Phone (630) 371-9980

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as individual
Quality
76.7
Improvement activities
40
Cost
77.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209078329ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Specialists of Greater Chicago SC CurrentSince Jan 14, 2019 Accepting new patients
Pain Specialists of Greater Chicago S C CurrentSince Jan 14, 2019 Accepting new patients

Locations

7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-1623

7055 High Grove Blvd
Ste 100
Burr Ridge, IL 60527
Phone (630) 371-1559

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1841760535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 ROSEHILL CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653347",
            "telephone_number": "708-370-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277628",
            "telephone_number": "630-371-9980",
            "fax_number": "630-371-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209078329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.