Active NPI
Merchant Adams, A.P.N.
- Primary Care Nurse Practitioner
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209014036
- Practice address
- 1875 Dempster St Ste 180
Park Ridge, IL 60068-1144 - Phone
- (847) 897-9010
- NPI assigned
- Mar 10, 2016
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
Hospital
-
- Home Health Agency
- Westchester, IL
- NPI 1548375447
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 LTD
Practice addresses (Care Compare)
1600 W Dempster St
Suite 120
Park Ridge, IL 60068-1171
Phone (847) 590-1500
Hospital & facility affiliations
- Medtec Home Health Agency, Inc
- Northshore University Healthsystem - Evanston Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170213002266 | IL | Practitioner - Nurse Practitioner | 8628351871 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Practices SC | Current | Accepting new patients | |
| Prima Medical Practices Inc | Current | Accepting new patients | |
| Geri Care LTD | Current | Accepting new patients | |
| Merchant Adams LLC | Current | Accepting new patients |
Locations
6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131
1875 W Dempster St
Ste 110
Park Ridge, IL 60068
Phone (224) 585-9200
1600 W Dempster St
Ste 120
Park Ridge, IL 60068
Phone (708) 456-5150
1875 W Dempster St
Ste 180
Park Ridge, IL 60068
Phone (844) 725-5238
432 Poplar Dr
Wilmette, IL 60091
Phone (847) 256-5000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209014036 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2023.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.