Patricia Ann Petersen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014531 Issued in IL

Practice address

301 N. Madison St
Suite 207
Joliet, IL 60435

Phone

(815) 740-1900

Fax

(815) 729-3294

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Ann Lukancic Former name

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Personalized Nurse Practitioner Care PLLCGroup PAC ID 4385088814, 2 clinicians

Joliet Area Community Hospice CorporationGroup PAC ID 6305860123, 6 clinicians

Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Panoptic Home Health Home health agency, Morris, IL, CCN 148367
• Newsome Home Health Care & Purpose Care of Illinois - Joliet Home health agency, Joliet, IL, CCN 148208
• At Home Quality Care - Lombard Home health agency, Tinley Park, IL, CCN 147899
• At Home Quality Care - Morris Home health agency, Morris, IL, CCN 147263
• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppetersen131466@dulyhealthandcare.direct-ci.com

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.

• Dupage Medical Group LTD

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment Care Compare group NPD
• Joliet Area Community Hospice Corporation

  • Community Based Hospice Care Agency
  • Joliet, IL
  • NPI 1043212103
  Medicare reassignment Care Compare group NPD
• Personalized Nurse Practitioner Care PLLC

  • Primary Care Nurse Practitioner
  • Channahon, IL
  • NPI 1770357725
  Medicare reassignment Care Compare group NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elmhurst Memorial Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation
• Med Care Health Management Corporation

  • Home Health Agency
  • Tinley Park, IL
  • NPI 1558467688
  Care Compare affiliation
• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  Care Compare affiliation
• Panoptic Health Service Inc

  • Home Health Agency
  • Morris, IL
  • NPI 1104181932
  Care Compare affiliation
• Peak Home Health Care, LLC

  • Home Health Agency
  • Joliet, IL
  • NPI 1740592336
  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• Signature Homecare Services, Inc.,

  • Home Health Agency
  • Morris, IL
  • NPI 1265672307
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1851845952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N. MADISON ST",
            "address_2": "SUITE 207",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-740-1900",
            "fax_number": "815-729-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppetersen131466@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "301 N. Madison St",
            "address_2": "Suite 207",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "LUKANCIC",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steffany Kathleen Pershey
• D David Pesavento, OD
• Russell P Pesavento, DDS
• Kristin Peters, MA CCC-SLP
• Mackenzie Petersen, DPT
• Lynette Peterson, COTA
• Jennifer Mary Petraitis, CRNA
• Vera Petras, MD
• Nicholas Petrus
• Kelly Petty

• Family Nurse Practitioner in Joliet, IL
• Providers in Joliet, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.

Verify at the official NPI Registry.