Active NPI
Nelly Prescilla Norrell, MD
- Psychiatry Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036142295
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881897486 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Loyola Gottlieb Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036142295 | IL | MD | Psychiatry Physician |
| 0101250376 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| MCPC-11, LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Adult Mental Health Clinic/Center
- Pinehurst, NC
- NPI 1841635455
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Internal Medicine Physician
- Arden, NC
- NPI 1366912586
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1124075676
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- General Acute Care Hospital
- Melrose Park, IL
- NPI 1831170232
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.