Active NPI
Janet Montes de Oca-Corona
- Adult Health Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209023121
- Practice address
- 4744 N Kedzie Ave
Chicago, IL 60625-4834 - Phone
- (312) 698-9040
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209023121 | IL | Primary |
Addresses
Primary practice location
4744 N Kedzie Ave
Chicago, IL 60625-4834
Mailing address
3650 W Armitage Ave
Chicago, IL 60647-3611
Phone (312) 698-9040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1340 Charles St
Rockford, IL 61104-2200
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
1700 Henry Luckow LN
Belvidere, IL 61008-1702
Phone (779) 696-8650
2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
- Uw Health
- Northshore University Healthsystem - Evanston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Single Specialty | Current | Accepting new patients |
| Endeavor Health Medical Group | Single Specialty | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc | Single Specialty | Current | Accepting new patients |
| Swedishamerican Hospital | Single Specialty | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Single Specialty | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Single Specialty
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Single Specialty
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
Single Specialty
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Nutritionist
- Rockford, IL
- NPI 1699216564
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
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1902579790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 W ARMITAGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473611",
"telephone_number": "312-698-9040",
"fax_number": "855-618-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4744 N KEDZIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606254834",
"telephone_number": "312-698-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES DE OCA-CORONA",
"first_name": "JANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2022-09-12",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209023121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.