Emily Kate Berwald, APN

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

209012222 Issued in IL

Practice address

845 W Wilson Ave
Chicago, IL 60640-8090

Phone

(773) 506-4283

Fax

(773) 275-3689

NPI assigned

Jul 18, 2015

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emily.berwald.1@27315.direct.athenahealth.com
• Direct secure messaging: mindbodycoop.emilyberwald@147350.advancedmd-direct.com

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.

• Mind Body Co-Op

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1750668091

  Multi-Specialty

  NPD (past)
• Mind Body Co-Op

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1770174559

  Multi-Specialty

  NPD (past)
• Tapestry 360 Health

  dba Heartland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1407981392
  NPD (past)

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1851775977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 W FOSTER AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400763",
            "telephone_number": "616-502-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W WILSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408090",
            "telephone_number": "773-506-4283",
            "fax_number": "773-275-3689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 424",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023844",
            "country_code": "US",
            "telephone_number": "872-274-4344",
            "fax_number": "866-671-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3209 N Lakewood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573215",
            "country_code": "US",
            "telephone_number": "872-274-4344",
            "fax_number": "866-671-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERWALD",
        "first_name": "EMILY",
        "middle_name": "KATE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2026-09-29",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012222",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209012222",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "IL",
            "license": "209012222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindbodycoop.emilyberwald@147350.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Emily Berwald PNP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3209 N Lakewood Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606573215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Bertucci
• Nicole Bertucci
• Susan Helene Bertuglia, MSW, LCSW
• Ellysse Bertus, FNP-BC
• Melanie Rae Berube, LCSW
• Marisa Michelle Berwald, BA
• Beryl-Denise Aguilera, Ma, Lmfta (B.D. Aguilera)
• Kaitlin Amanda Berzsenyi, M.A.
• Janice Beschorner, C.N.S.
• Andrea Beshalske, PHARMD

• Family Health Clinical Nurse Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.