Individual provider Active NPI

Patricia Grayson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1841768660
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209018374 Issued in IL
Practice address
331 W Surf St Ste 907
Chicago, IL 60657-7227
Phone
(773) 665-3203
NPI assigned
Nov 9, 2018
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209018374 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209018374 IL Primary

Addresses

Primary practice location

331 W Surf St Ste 907
Chicago, IL 60657-7227

Mailing address

331 W Surf St Ste 907
Chicago, IL 60657-7227
Phone (773) 665-3203

Other identifiers 1

IdentifierTypeStateIssuer
209018374OtherILADVANCED NURSE PRACTITIONER

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
I20181231000732 IL Practitioner - Nurse Practitioner 9830434497 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5215 N California Ave
F101
Chicago, IL 60625-7014
Phone (773) 989-1609

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Illinois Multi-Specialty CurrentSince Jul 29, 2019 Accepting new patients
Lutheran Social Services of Illinois Multi-Specialty CurrentSince Jul 29, 2019 Accepting new patients
Fabian Carbonell MD SC Multi-Specialty CurrentSince Oct 1, 2021 Accepting new patients
Cook County Multi-Specialty Current Accepting new patients
Christian Community Health Center CurrentSince Mar 16, 2022 Accepting new patients
Christian Community Health Center Multi-Specialty CurrentSince Mar 16, 2022 Accepting new patients
Cook County Multi-Specialty CurrentSince Jan 17, 2025 Accepting new patients
Cook County CurrentSince Jan 17, 2025 Accepting new patients
SC Mohan MD SC Multi-Specialty Past Accepting new patients

Locations

364 Torrence Ave
Calumet City, IL 60409
Phone (708) 868-9457

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

2845 N Sheridan Rd
Ste 708
Chicago, IL 60657
Phone (773) 649-4261

2960 N Lakeshore
Chicago, IL 60657
Phone (773) 525-3045

331 W Surf St
Ste 907
Chicago, IL 60657
Phone (773) 295-0707

4840 W Byron St
Chicago, IL 60641
Phone (773) 282-7800

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

5215 N California Ave
Ste F101
Chicago, IL 60625
Phone (773) 561-5809

9718 S Halsted St
Chicago, IL 60628
Phone (773) 233-4100

1001 E Touhy Ave
Ste 170
Des Plaines, IL 60018
Phone (847) 390-1422

650 E Phoenix Center Dr
Phoenix, IL 60426
Phone (630) 776-4694

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1841768660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W SURF ST STE 907",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-665-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W SURF ST STE 907",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-665-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018374",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209018374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED NURSE PRACTITIONER",
            "identifier": "209018374",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.