Individual provider Active NPI

Rosalia Maria Lomeli, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1891497152
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026920 Issued in IL
Practice address
779 W Adams St
Chicago, IL 60661-3509
Phone
(312) 219-4216
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209026920 IL Primary

Addresses

Primary practice location

779 W Adams St
Chicago, IL 60661-3509

Mailing address

779 W Adams St
Chicago, IL 60661-3509
Phone (312) 219-4216

Other practice location 1

5906 N Milwaukee Ave
Chicago, IL 60646-5420
Phone (773) 774-7300

Other practice location 2

6009 N Newburg Ave
Chicago, IL 60631-2617
Phone (312) 752-4466

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
I20230411000801 IL Practitioner - Nurse Practitioner 3870968522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians
Jefferson Park Medical Group PCGroup PAC ID 6204731474, 5 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

5906 N Milwaukee Ave
Chicago, IL 60646-5420
Phone (773) 774-7300

Hospital & facility affiliations

  • Benchmark Home Health Care Home health agency, Chicago, IL, CCN 147916

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Park Medical Group, P.C. CurrentSince Mar 30, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Oct 15, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Oct 15, 2024 Accepting new patients

Locations

779 W Adams St
Chicago, IL 60661
Phone (312) 382-8308

5906 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 774-7300

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 3

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 1

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1891497152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613509",
            "telephone_number": "312-219-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613509",
            "telephone_number": "312-219-4216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5906 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606465420",
            "country_code": "US",
            "telephone_number": "773-774-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6009 N Newburg Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606312617",
            "country_code": "US",
            "telephone_number": "312-752-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMELI",
        "first_name": "ROSALIA",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.