Individual provider Active NPI

Lucinda Dewaele-Guzman, APN

  • Adult Health Nurse Practitioner
  • Morris, IL
National Provider Identifier
1881799476
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209005049 Issued in IL
Practice address
1715 N Division St Ste a
Morris, IL 60450-3122
Phone
(815) 942-1550
Fax
(815) 942-8419
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209005049 IL Primary

Addresses

Primary practice location

1715 N Division St Ste a
Morris, IL 60450-3122

Mailing address

1715 N Division St Ste a
Morris, IL 60450-3122
Phone (815) 942-1550

Other identifiers 2

IdentifierTypeStateIssuer
209005049OtherILSTATE LIC
P00361879OtherILRAILROAD MEDICARE

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
I20041101000708 IL Practitioner - Nurse Practitioner 4981666070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Associates PCGroup PAC ID 7517954886, 4 clinicians

Practice addresses (Care Compare)

1715 N Division St
Suite a
Morris, IL 60450-3122
Phone (815) 942-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
69.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Associates, P.C. CurrentSince Dec 11, 2006 Accepting new patients

Locations

1100 Houbolt Rd
Joliet, IL 60431
Phone (815) 725-5950

1715 N Division St
Ste A
Morris, IL 60450
Phone (815) 725-5950

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 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1881799476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503122",
            "telephone_number": "815-942-1550",
            "fax_number": "815-942-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503122",
            "telephone_number": "815-942-1550",
            "fax_number": "815-942-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAELE-GUZMAN",
        "first_name": "LUCINDA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209005049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "209005049",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00361879",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.