Individual provider Active NPI

Melissa Theodore, NP

  • Nurse Practitioner
  • Evanston, IL
National Provider Identifier
1912294083
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277000045 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1700
Phone
(847) 570-1010
Fax
(847) 733-5108
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 277000045 IL
Nurse Practitioner 363L00000X 277000045 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040

Other practice location 1

4600 N Ravenswood Ave
Chicago, IL 60640-4510
Phone (773) 561-6282

Other names 1

  • Melissa Ritzman Former name

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
I20110801000358 IL Practitioner - Nurse Practitioner 8729257126 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geri Care LTDGroup PAC ID 5991794513, 12 clinicians
Clear Practice PLLCGroup PAC ID 4880137850, 16 clinicians

Practice addresses (Care Compare)

1600 W Dempster St
Suite 120
Park Ridge, IL 60068-1171
Phone (847) 590-1500

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (855) 229-2191

Hospital & facility affiliations

  • Luxe Home Health Home health agency, Des Plaines, IL, CCN 148317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277000045ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jan 14, 2026 Accepting new patients
Inhome Primecare PLLC Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Geri Care LTD CurrentSince Sep 1, 2019 Accepting new patients
Clear Practice PLLC CurrentSince Jun 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Apr 15, 2018 Accepting new patients
HMV Diagnostics Nurse Practitioner CurrentSince Sep 4, 2017 Accepting new patients
Advocate North Side Health Network Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

2435 US Highway 19
Ste 210
Holiday, FL 34691
Phone (727) 940-5908

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

29373 Network Pl
Chicago, IL 60673

75 Remittance Dr
Ste 16
Chicago, IL 60675

1725 W Harrison St
Ste 1156
Chicago, IL 60612
Phone (312) 563-2762

75 Remittance Dr
Chicago, IL 60675

9532 Eagle Way
Chicago, IL 60678

1725 W Harrison St
Ste 115
Chicago, IL 60612
Phone (312) 829-2540

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

9401 S Kostner Ave
Oak Lawn, IL 60453
Phone (708) 423-6731

1600 W Dempster St
Ste 120
Park Ridge, IL 60068
Phone (708) 456-5150

13900 Riverport Dr
Maryland Heights, MO 63043
Phone (314) 209-2700

13900 Riverport Dr
Ste 101
Maryland Heights, MO 63043

7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800

2975 Regent Blvd
#201
Irving, TX 75063

Interoperability endpoints

  • Direct secure messaging: melissa.theodore@768220391342084.direct.elationemr.com

Organizations & group practices 10

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1912294083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040",
            "fax_number": "847-733-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-1010",
            "fax_number": "847-733-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 N Ravenswood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606404510",
            "country_code": "US",
            "telephone_number": "773-561-6282",
            "fax_number": "773-561-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277000045",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RITZMAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.