Individual provider Active NPI

Elisa Slater, FNP-C

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1861130569
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025241 Issued in IL
Practice address
2655 Warrenville Rd Ste 500
Downers Grove, IL 60515-5646
Phone
(630) 992-0001
Fax
(855) 273-3924
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209025241 IL Primary

Addresses

Primary practice location

2655 Warrenville Rd Ste 500
Downers Grove, IL 60515-5646

Mailing address

332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Phone (855) 229-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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

Enrollment IDStateProvider typePAC IDDetails
I20250722000628 IL Practitioner - Nurse Practitioner 5890134910 Reassigns benefits to 1 organization
I20250920000260 MO Practitioner - Nurse Practitioner 5890134910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear Practice PLLCGroup PAC ID 4880137850, 16 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (855) 229-2191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209025241ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Practice PLLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

13900 Riverport Dr
Maryland Heights, MO 63043
Phone (314) 209-2700

7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800

2975 Regent Blvd
#201
Irving, TX 75063

Interoperability endpoints

  • Direct secure messaging: elise.slater@768220391342084.direct.elationemr.com
  • Direct secure messaging: ms_eslater3@landmarkhealth-direct.org

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1861130569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044393",
            "telephone_number": "855-229-2191",
            "fax_number": "312-579-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WARRENVILLE RD STE 500",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155646",
            "telephone_number": "630-992-0001",
            "fax_number": "855-273-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "ELISA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.