Individual provider Active NPI

Breanna Freschi-Lijewski, APRN

  • Family Nurse Practitioner
  • Morris, IL
National Provider Identifier
1881301398
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026325 Issued in IL
Practice address
100 Gore Rd
Morris, IL 60450-9466
Phone
(815) 364-8919
NPI assigned
Nov 3, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.026325 IL
Family Nurse Practitioner 363LF0000X 209026325 IL Primary

Addresses

Primary practice location

100 Gore Rd
Morris, IL 60450-9466

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Other practice location 1

27240 W Saxony Dr
Channahon, IL 60410-1416
Phone (815) 521-1500

Other practice location 2

1450 E Division St
Diamond, IL 60416-6050
Phone (815) 634-3500

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
I20221220000468 IL Practitioner - Nurse Practitioner 4587033238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.026325ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Dec 13, 2022 Accepting new patients
Morris Hospital CurrentSince Dec 13, 2022 Accepting new patients
Community Home Physicians, LLC CurrentSince Jul 25, 2023 Accepting new patients
Morris Hospital Current Accepting new patients

Locations

27240 W Saxony Dr
Channahon, IL 60410
Phone (815) 521-1500

1450 E Division St
Diamond, IL 60416
Phone (815) 364-3500

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919

150 W High St
Morris, IL 60450
Phone (815) 942-2129

725 School St
Ste A
Morris, IL 60450

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1881301398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GORE RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604509466",
            "telephone_number": "815-364-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27240 W Saxony Dr",
            "address_purpose": "LOCATION",
            "city": "Channahon",
            "state": "IL",
            "postal_code": "604101416",
            "country_code": "US",
            "telephone_number": "815-521-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 E Division St",
            "address_purpose": "LOCATION",
            "city": "Diamond",
            "state": "IL",
            "postal_code": "604166050",
            "country_code": "US",
            "telephone_number": "815-634-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRESCHI-LIJEWSKI",
        "first_name": "BREANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.026325",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.