Individual provider Active NPI

Nelly Prescilla Norrell, MD

  • Psychiatry Physician
  • Maywood, IL
National Provider Identifier
1881897486
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036142295 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000
Fax
(540) 564-7171
NPI assigned
Jun 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101250376 VA
Psychiatry Physician 2084P0800X 036142295 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Other practice location 1

1080 First Colonial Rd Ste 403
Virginia Beach, VA 23454-2406
Phone (757) 395-1850

Other practice location 2

644 University Blvd
Harrisonburg, VA 22801-3750
Phone (540) 564-7036

Other identifiers 1

IdentifierTypeStateIssuer
1881897486MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120411000436 VA Practitioner - Psychiatry 2668633033 Reassigns benefits to 1 organization
I20181113002966 IL Practitioner - Psychiatry 2668633033 Reassigns benefits to 1 organization
I20240423000924 NC Practitioner - Psychiatry 2668633033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400

1080 1St Colonial Rd
Suite 403
Virginia Beach, VA 23454-2406
Phone (757) 395-1850

Hospital & facility affiliations

  • CGH Medical Center Hospital, Sterling, IL, CCN 140043
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036142295ILMDPsychiatry Physician
0101250376VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC CurrentSince May 5, 2025 Accepting new patients
Loyola University Medical Center CurrentSince Mar 22, 2025 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince May 5, 2025 Accepting new patients
Loyola University Medical Center CurrentSince Mar 22, 2025 Accepting new patients
Sentara Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Specialty Physicians of Illinois, LLC Current Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince May 15, 2025 Accepting new patients
MCPC-11, LLC CurrentSince Apr 1, 2024 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1080 First Colonial Rd
Ste 403
Virginia Beach, VA 23454
Phone (757) 496-6537

Interoperability endpoints

  • Direct secure messaging: nnorrell34133@cghmc.direct-ci.com

Organizations & group practices 10

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": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1881897486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000",
            "fax_number": "540-564-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000",
            "fax_number": "540-564-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 First Colonial Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542406",
            "country_code": "US",
            "telephone_number": "757-395-1850",
            "fax_number": "855-707-7855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "644 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013750",
            "country_code": "US",
            "telephone_number": "540-564-7036",
            "fax_number": "540-564-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRELL",
        "first_name": "NELLY",
        "middle_name": "PRESCILLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101250376",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036142295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881897486",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.