Helena Davis, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209013064 Issued in IL

Practice address

9654 W 131St St Unit 205
Palos Park, IL 60464-1640

Phone

(708) 480-2650

Fax

(708) 575-2876

NPI assigned

Aug 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chicago Family Health Center IncGroup PAC ID 6608765417, shared by 6 NPIs, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1174925663
  Medicare reassignment NPD
• Chicago Family Health Center, Inc.

  dba Chicago Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1245266337
  Medicare reassignment
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  IN

  Medicare reassignment
• Chicago Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1528390507
  NPD
• Chicago Family Health Center, Inc.

  dba Chicago Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1770785644
  NPD
• First Choice Occupational Health, LLC.

  • Occupational Medicine Clinic/Center
  • Naperville, IL
  • NPI 1245502616
  NPD (past)
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871969626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9654 W 131ST STREET",
            "address_2": "UNIT 205",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "60464",
            "telephone_number": "773-844-6869",
            "fax_number": "708-575-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9654 W 131ST ST UNIT 205",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641640",
            "telephone_number": "708-480-2650",
            "fax_number": "708-575-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HELENA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013064",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "208013064",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Colclasure, PHARMD
• Kristen Marie Conners, M.S., CCC-A
• Corazon R Benig MD SC
• Lisa Sharon Cushing, PHD, BCBA
• Michelle L Dalton, FNP
• Terence A Deady, D.D.S.
• Deana L. Fisher, P.C. (Impactful Therapy)
• Prashant G Deshpande, M.D.
• Ramesh H. Doshi, M.D.
• Julia Caitlin Espel, MD

• Nurse Practitioner in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.