Individual provider Active NPI

Melissa Litwin, NP

  • Adult Health Nurse Practitioner
  • Brookfield, IL
National Provider Identifier
1851998553
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.022050 Issued in IL
Practice address
9127 Burlington Ave
Brookfield, IL 60513-1939
Phone
(708) 525-4844
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.022050 IL Primary

Addresses

Primary practice location

9127 Burlington Ave
Brookfield, IL 60513-1939

Mailing address

9127 Burlington Ave
Brookfield, IL 60513-1939
Phone (708) 525-4844

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
I20220329000590 IL Practitioner - Nurse Practitioner 1557756640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Management SCGroup PAC ID 2466427158, 23 clinicians

Practice addresses (Care Compare)

244 E Roosevelt Rd
Lombard, IL 60148-4647
Phone (630) 629-6298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.022050ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management SC CurrentSince Feb 28, 2024 Accepting new patients
Integrated Pain Management SC CurrentSince Feb 28, 2024 Accepting new patients

Locations

244 E Roosevelt Rd
Lombard, IL 60148
Phone (312) 842-4588

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1851998553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 BURLINGTON AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131939",
            "telephone_number": "708-525-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 BURLINGTON AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131939",
            "telephone_number": "708-525-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWIN",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.022050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

Verify at the official NPI Registry.