Active NPI
Anna Koziol, APN-CNP
- Family Nurse Practitioner
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209012664
- Practice address
- 519 S Roselle Rd
Schaumburg, IL 60193-2925 - Phone
- (847) 618-0535
- Fax
- (630) 671-4989
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209012664 | IL | Primary |
Addresses
Primary practice location
519 S Roselle Rd
Schaumburg, IL 60193-2925
Mailing address
519 S Roselle Rd
Schaumburg, IL 60193-2925
Phone (847) 618-0535
Other practice location 1
1632 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 618-2500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221019003351 | IL | Practitioner - Nurse Practitioner | 3870969603 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 W Algonquin Rd
Palatine, IL 60067-7373
Phone (847) 618-0535
1632 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 618-2500
2650 Ridge Ave
Evanston, IL 60201-1700
Hospital & facility affiliations
- Northwest Community Hospital 1
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209012664 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
1632 W Central Rd
Arlington Hts, IL 60005
Phone (847) 253-8050
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
519 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 618-0535
Interoperability endpoints
- akoziol181808@direct.nch.org
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.
-
- Cardiovascular Disease Physician
- Bloomingdale, IL
- NPI 1457514960
IL
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
Hospital
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1851787733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932925",
"telephone_number": "847-618-0535",
"fax_number": "630-671-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932925",
"telephone_number": "847-618-0535",
"fax_number": "630-671-4989"
}
],
"practiceLocations": [
{
"address_1": "1632 W Central Rd",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600052407",
"country_code": "US",
"telephone_number": "847-618-2500",
"fax_number": "630-671-4989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOZIOL",
"first_name": "ANNA",
"credential": "APN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209012664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.