Active NPI
Ashley Hafertepe, APN
- Nurse Practitioner
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209027393
- Practice address
- 202 S Greenleaf St Ste 202-F
Gurnee, IL 60031-3399 - Phone
- (847) 336-3335
- Fax
- (847) 336-3249
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209027393 | IL | Primary |
Addresses
Primary practice location
202 S Greenleaf St Ste 202-F
Gurnee, IL 60031-3399
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621000279 | IL | Practitioner - Nurse Practitioner | 1456719657 |
Care Compare profile
Medicare Care CompareMerit-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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209027393 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
202 S Greenleaf St
Ste 202F
Gurnee, IL 60031
Phone (847) 336-3335
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1912690876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RAND RD STE 300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162359",
"telephone_number": "847-324-3976",
"fax_number": "847-929-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S GREENLEAF ST STE 202-F",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313399",
"telephone_number": "847-336-3335",
"fax_number": "847-336-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFERTEPE",
"first_name": "ASHLEY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209027393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.