Active NPI
Lucinda Dewaele-Guzman, APN
- Adult Health Nurse Practitioner
- Morris, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209005049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209005049 | Other | IL | STATE LIC |
| P00361879 | Other | IL | RAILROAD 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
Enrollment records 1
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
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 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 69.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Associates, P.C. | Current | 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.
-
- Gastroenterology Physician
- Morris, IL
- NPI 1922173012
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
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
- Ginni Clair Demko, LSW
- Eric Duane Denny, PMHNP-BC
- Dental Professionals of Illinois, P.C. (Prairie Place Family Dental)
- Emily Devaux
- Alexandra Kay Devries, OT
- Andrea Marie Dewasme
- Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Morris)
- Abigail Diaz, LCSW
- Ramon Diaz Jr., MA
- Digestive Health Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.