Ellen Verlen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277000136 Issued in IL

Practice address

1900 Hollister Drive
Suite 250
Libertyville, IL 60048

Phone

(847) 573-9663

Fax

(847) 573-9662

NPI assigned

Nov 14, 2007

Last updated

Dec 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Primary Care S.C.

  • Internal Medicine Physician
  • Libertyville, IL
  • NPI 1659563831
  Medicare reassignment NPD

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1881875235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E SCRANTON AVENUE",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "60044",
            "telephone_number": "847-987-2481",
            "fax_number": "612-225-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DRIVE",
            "address_2": "SUITE 250",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-573-9663",
            "fax_number": "847-573-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERLEN",
        "first_name": "ELLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Vazquez
• Angela Vega, APRN
• Sara R Vegh, M.D.
• Sally Ventura
• Kristin Nicole Vercillo, M.D.
• Vernon Hills Medical Center, LTD
• Susan Uilani Versino, PT
• Anthony Vicini
• Austin Videlka
• Village of Libertyville

• Family Nurse Practitioner in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.