Individual provider Active NPI

Merchant Adams, A.P.N.

  • Primary Care Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1891156444
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209014036 Issued in IL
Practice address
1875 Dempster St Ste 180
Park Ridge, IL 60068-1144
Phone
(847) 897-9010
NPI assigned
Mar 10, 2016
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209014036 IL Primary

Addresses

Primary practice location

1875 Dempster St Ste 180
Park Ridge, IL 60068-1144

Mailing address

532 S Vine Ave
Park Ridge, IL 60068-4148
Phone (773) 896-4000

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
I20170213002266 IL Practitioner - Nurse Practitioner 8628351871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geri Care LTDGroup PAC ID 5991794513, 12 clinicians

Practice addresses (Care Compare)

1600 W Dempster St
Suite 120
Park Ridge, IL 60068-1171
Phone (847) 590-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Medical Practices Inc CurrentSince Oct 1, 2020 Accepting new patients
Merchant Adams LLC CurrentSince Apr 27, 2021 Accepting new patients
Geri Care LTD CurrentSince May 22, 2023 Accepting new patients
Advanced Medical Practices SC CurrentSince Dec 14, 2016 Accepting new patients

Locations

6631 N Milwaukee Ave
Niles, IL 60714
Phone 84723561303

1600 W Dempster St
Ste 120
Park Ridge, IL 60068
Phone (708) 456-5150

1875 W Dempster St
Ste 110
Park Ridge, IL 60068
Phone (224) 585-9200

1875 W Dempster St
Ste 180
Park Ridge, IL 60068
Phone (844) 725-5238

432 Poplar Dr
Wilmette, IL 60091
Phone (847) 256-5000

Organizations & group practices 4

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.

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1891156444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 S VINE AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684148",
            "telephone_number": "773-896-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 180",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681144",
            "telephone_number": "847-897-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MERCHANT",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209014036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.