Individual provider Active NPI

Anita Lyn Farley, FNP

  • Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1902366164
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003624 Issued in IL
Practice address
21150 Foxtail Dr
Mokena, IL 60448-1959
Phone
(708) 969-1852
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209019026 IL
Nurse Practitioner 363L00000X 277003624 IL Primary

Addresses

Primary practice location

21150 Foxtail Dr
Mokena, IL 60448-1959

Mailing address

21150 Foxtail Dr
Mokena, IL 60448-1959
Phone (708) 969-1852

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afarley432552@Direct.FranciscanAlliance.org Direct

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
I20191007002768 IL Practitioner - Nurse Practitioner 0446581326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Specialists LLCGroup PAC ID 1153551494, 5 clinicians

Practice addresses (Care Compare)

8505 183Rd St
Suite a
Tinley Park, IL 60487-9354
Phone 8158244406128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277003624ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Mar 24, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 24, 2022 Accepting new patients
Vascular Specialists of Indiana LLC CurrentSince May 20, 2024 Accepting new patients
Vascular Specialists LLC CurrentSince May 20, 2024 Accepting new patients

Locations

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

8505 183rd St
Ste A
Tinley Park, IL 60487
Phone (815) 824-4406

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

Interoperability endpoints

  • Direct secure messaging: afarley432552@direct.franciscanalliance.org
  • Direct secure messaging: anita.farley.p1@direct.thmg.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1902366164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 FOXTAIL DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481959",
            "telephone_number": "708-969-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 FOXTAIL DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481959",
            "telephone_number": "708-969-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "ANITA",
        "middle_name": "LYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209019026",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afarley432552@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20939 S Cicero Ave",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.