Individual provider Active NPI

Marcie Neshia Powers Ross, APRN, FNP

  • Family Nurse Practitioner
  • Oakbrook Terrace, IL
National Provider Identifier
1861963407
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019095 Issued in IL
Practice address
2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290
Phone
(312) 493-5467
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 041378507 IL
Family Nurse Practitioner 363LF0000X 209019095 IL Primary

Addresses

Primary practice location

2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290

Mailing address

2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290
Phone (312) 493-5467

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
I20190515001516 IL Practitioner - Nurse Practitioner 1759624794 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041378507ILMDCase Management Registered Nurse
209019095ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Home Network CurrentSince Nov 5, 2024 Accepting new patients
Quality Plus Care Inc CurrentSince Nov 16, 2024 Accepting new patients
Evocare Wound Solutions PA CurrentSince Nov 16, 2024 Accepting new patients
Vpa PC Past Accepting new patients

Locations

3530 W Peterson Ave
Ste 201
Chicago, IL 60659
Phone (847) 261-2541

400 N May St
Ste 101
Chicago, IL 60642
Phone (312) 498-6616

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": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1861963407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR STE 410",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814290",
            "telephone_number": "312-493-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR STE 410",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814290",
            "telephone_number": "312-493-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS ROSS",
        "first_name": "MARCIE",
        "middle_name": "NESHIA",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041378507",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.