Nina R Defrias, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209023453 Issued in IL

Practice address

7124 W Gabreski LN
Monee, IL 60449-9039

Phone

(708) 710-6879

NPI assigned

Jun 30, 2021

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

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Haris Medical Group LLC

  • Nephrology Physician
  • Addison, IL
  • NPI 1710352091
  Medicare reassignment NPD
• RP Wellness Center MD Inc

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1568858637
  Medicare reassignment
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739
  NPD
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1851961916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 W GABRESKI LN",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604499039",
            "telephone_number": "708-710-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W GABRESKI LN",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604499039",
            "telephone_number": "708-710-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRIAS",
        "first_name": "NINA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Christian
• Janell D. Cox-Bey, LCSW
• Morgan Currie
• D and I Transport, Inc
• Renee J Davis, LMT
• Docs Drugs LTD
• Jennifer J Dugan, MA
• Emerge Rehabilitation LLC
• Yasmine Farhan, DMD
• Simone C Fultz, FNP

• Family Nurse Practitioner in Monee, IL
• Providers in Monee, 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 Jun 30, 2021; 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.