Individual provider Active NPI

Ivy-Lou Villanueva Iraula, MSN, CNM, WHNP-BC

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1902209232
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209011826 Issued in IL
Practice address
675 N Saint Clair St Ste 14-200
Chicago, IL 60611-5966
Phone
(312) 695-7382
Fax
(312) 695-0014
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209011825 IL
Nurse Practitioner 363L00000X 209011826 IL Primary

Addresses

Primary practice location

675 N Saint Clair St Ste 14-200
Chicago, IL 60611-5966

Mailing address

675 N Saint Clair St Ste 14-200
Chicago, IL 60611-5966
Phone (312) 695-7382

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124000310 IL Practitioner - Certified Nurse Midwife (CNM) 8820357668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

676 N Saint Clair
Chicago, IL 60611-2927

676 N Saint Clair St
Chicago, IL 60611-2927

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209011825ILMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Dec 13, 2017 Accepting new patients
Access Community Health Network Current Accepting new patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Aug 22, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 8, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 8, 2024 Accepting new patients
Access Community Health Network CurrentSince Dec 13, 2017 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Karen L. Jaffe Psy.D. LTD Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

675 N Saint Clair St
Ste 14-200
Chicago, IL 60611
Phone (312) 695-7382

30 N Michigan Ave
Ste 607
Chicago, IL 60602
Phone (312) 263-1780

3752 W 16th St
Chicago, IL 60623
Phone (773) 521-0060

30 N Michigan Ave
Ste 300
Chicago, IL 60602
Phone (312) 558-6481

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

Organizations & group practices 8

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1902209232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST STE 14-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115966",
            "telephone_number": "312-695-7382",
            "fax_number": "312-695-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST STE 14-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115966",
            "telephone_number": "312-695-7382",
            "fax_number": "312-695-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRAULA",
        "first_name": "IVY-LOU",
        "middle_name": "VILLANUEVA",
        "credential": "MSN, CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209011825",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.