NPIMap

Individual provider Active NPI

Ryan James Taccona, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1922606201
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209021718 Issued in IL
Practice address
2127 Midlands CT Unit 203
Sycamore, IL 60178-3173
Phone
(815) 758-8106
NPI assigned
Oct 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 209021718 IL
Nurse Practitioner 363L00000X 209021718 IL Primary

Addresses

Primary practice location

2127 Midlands CT Unit 203
Sycamore, IL 60178-3173

Mailing address

2127 Midlands CT Unit 203
Sycamore, IL 60178-3173
Phone (815) 758-8106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128002760 IL Practitioner - Nurse Practitioner 6002220266 Reassigns benefits to 2 organizations

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
Northwestern Medical Faculty Foundation 4,386 clinicians
Central Dupage Physician Group 1,087 clinicians

Practice addresses (Care Compare)

2127 Midlands CT
Unit 203
Sycamore, IL 60178-3173
Phone (815) 758-8106

Hospital & facility affiliations

  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jan 27, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 17, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 17, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Jan 27, 2021 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

2127 Midlands Ct
Unit 203
Sycamore, IL 60178
Phone (815) 758-8106

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1922606201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT UNIT 203",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-758-8106",
            "fax_number": "815-758-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT UNIT 203",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-758-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACCONA",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021718",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.