Individual provider Active NPI

Monica Colletti

  • Physician Assistant
  • Elgin, IL
National Provider Identifier
1861154866
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.008800 Issued in IL
Practice address
1600 N Randall Rd Ste 400
Elgin, IL 60123-7805
Phone
(847) 381-8899
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.008800 IL Primary

Addresses

Primary practice location

1600 N Randall Rd Ste 400
Elgin, IL 60123-7805

Mailing address

1600 N Randall Rd Ste 400
Elgin, IL 60123-7805

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mnarsolis@directaddress.net Direct
FHIR URL https://select.nextech-api.com/api

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
I20220201001064 IL Practitioner - Physician Assistant 8820481500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

12736 S State Route 59
Unit 102
Plainfield, IL 60585-5461
Phone (847) 381-8899

1531 S Grove Ave
Unit 101
Barrington, IL 60010-5250
Phone (847) 381-8899

329 Remington Blvd
Suite 225
Bolingbrook, IL 60440-5822
Phone (847) 381-8899

85 W Algonquin Rd
Suite 220
Arlington Heights, IL 60005-4423
Phone (847) 381-8899

8501 W Higgins Rd
Suite 100
Chicago, IL 60631-2814
Phone (847) 381-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.008800ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derick Dermatology, PLLC CurrentSince Jan 31, 2022 Accepting new patients
Derick Dermatology, PLLC CurrentSince Jan 31, 2022 Accepting new patients
Derick Dermatology, PLLC Past Accepting new patients

Locations

85 W Algonquin Rd
Ste 220
Arlington Heights, IL 60005
Phone (866) 337-4251

1531 S Grove Ave
Unit 101
Barrington, IL 60010

820 W Bartlett Rd
Bartlett, IL 60103

329 Remington Blvd
Ste 225
Bolingbrook, IL 60440
Phone (630) 633-1000

750 W Lake Cook Rd
Ste 270
Buffalo Grove, IL 60089

805 Village Center Dr
Burr Ridge, IL 60527

8501 W Higgins Rd
Ste 100
Chicago, IL 60631

525 E Congress Pkwy
Ste 200
Crystal Lake, IL 60014

1600 N Randall Rd
Ste 400
Elgin, IL 60123

230 Commons Dr
Geneva, IL 60134

950 Technology Way
Ste 150
Libertyville, IL 60048
Phone (847) 926-0106

1025 Red Oak Ln
Ste 250
Lindenhurst, IL 60046

353 Bank Dr
Ste 400
McHenry, IL 60050

263 Shuman Blvd
Ste 125
Naperville, IL 60563

1900 Spring Rd
Ste 210
Oak Brook, IL 60523

1147 South Blvd
Oak Park, IL 60302

14225 S 95th Ave
Ste 418
Orland Park, IL 60462

12736 S Route 59
Unit 102
Plainfield, IL 60585

Interoperability endpoints

  • Direct secure messaging: mcolletti@directaddress.net

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1861154866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805",
            "telephone_number": "847-381-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTI",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnarsolis@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Derick Dermatology",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1600 N Randall Rd Ste 400",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "address_1": "1600 N Randall Rd Ste 400",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.