Active NPI
Anna Koperdowski, APN
- Clinical Nurse Specialist
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 277-002528
- Practice address
- 1775 Dempster St
Park Ridge, IL 60068-1143 - Phone
- (847) 723-7273
- Fax
- (847) 696-9540
- NPI assigned
- Feb 25, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 277-002528 | IL | Primary |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 209011085 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 209011085 | IL |
Addresses
Primary practice location
1775 Dempster St
Park Ridge, IL 60068-1143
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-5411
Other practice location 2
111 E Washington St
Bensenville, IL 60106-2674
Phone (331) 221-5411
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akoperdowski133876@direct.edward.org | Direct | |
| Direct Messaging Address | akoperdowski251093@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209011085 | IL | MD | Adult Health Nurse Practitioner |
| 277-002528 | IL | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| Elmhurst Memorial Hospital | Past | Accepting new patients |
Locations
111 E Washington St
Bensenville, IL 60106
Phone (630) 521-8012
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
9532 Eagle Way
Chicago, IL 60678
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521
172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377
1200 S York St
Ste 2000
Elmhurst, IL 60126
Phone (331) 221-9002
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
Interoperability endpoints
- akoperdowski133876@direct.edward.org
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Multi-Specialty Clinic/Center
- Elmhurst, IL
- NPI 1457493454
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Internal Medicine Physician
- Elmhurst, IL
- NPI 1497076392
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1932524196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-723-7273",
"fax_number": "847-696-9540"
}
],
"practiceLocations": [
{
"address_1": "155 E Brush Hill Rd",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "60126",
"country_code": "US",
"telephone_number": "331-221-5411",
"fax_number": "331-221-3718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E Washington St",
"address_purpose": "LOCATION",
"city": "Bensenville",
"state": "IL",
"postal_code": "601062674",
"country_code": "US",
"telephone_number": "331-221-5411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPERDOWSKI",
"first_name": "ANNA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IL",
"license": "277-002528",
"primary": true
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "IL",
"license": "209011085",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209011085",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akoperdowski133876@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "155 E Brush Hill Rd",
"city": "Elmhurst",
"state": "IL",
"country_code": "US",
"postal_code": "60126",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akoperdowski251093@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.