Individual provider Active NPI

Lyndsey A Perreault, FNP-C

  • Nurse Practitioner
  • Vernon Hills, IL
National Provider Identifier
1922547843
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015340 Issued in IL
Practice address
870 N Milwaukee Ave
Vernon Hills, IL 60061-1521
Phone
(847) 475-2273
Fax
(847) 535-7761
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015340 IL
Nurse Practitioner 363L00000X 209015340 IL Primary

Addresses

Primary practice location

870 N Milwaukee Ave
Vernon Hills, IL 60061-1521

Mailing address

870 N Milwaukee Ave
Vernon Hills, IL 60061-1521
Phone (847) 475-2273

Other practice location 1

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

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
I20170411002051 IL Practitioner - Nurse Practitioner 9638455389 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecological & Obstetric Assocs, S.C. CurrentSince Jan 18, 2024 Accepting new patients
TT Medical Group LLC CurrentSince Jan 1, 2022 Accepting new patients
Cepamerica Illinois LLP CurrentSince Dec 14, 2017 Accepting new patients
Rockford Health Physicians CurrentSince Dec 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 10, 2017 Accepting new patients
Cepamerica Illinois LLP CurrentSince Dec 14, 2017 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Mar 10, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1614 W Central Rd
Ste 205
Arlington Hts, IL 60005
Phone (847) 392-9191

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

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

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29373 Network Pl
Chicago, IL 60673

741 S McHenry Ave
Ste Cd
Crystal Lake, IL 60014
Phone (630) 533-4038

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

7251 Lake St
River Forest, IL 60305
Phone (708) 366-9960

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

Interoperability endpoints

  • Direct secure messaging: lperreault120755@direct.mhemail.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1922547843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MILWAUKEE AVE",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611521",
            "telephone_number": "847-475-2273",
            "fax_number": "847-535-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N MILWAUKEE AVE",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611521",
            "telephone_number": "847-475-2273",
            "fax_number": "847-535-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "LYNDSEY",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015340",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.