Individual provider Active NPI

Nelson Uy, APRN

  • Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1932849049
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209025001 Issued in IL
Practice address
1420 Renaissance Dr
Park Ridge, IL 60068-1330
Phone
(847) 296-6161
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209025001 IL Primary

Addresses

Primary practice location

1420 Renaissance Dr
Park Ridge, IL 60068-1330

Mailing address

9007 La Crosse Ave Apt 1N
Skokie, IL 60077-1734
Phone (224) 456-2832

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
I20220413001030 IL Practitioner - Nurse Practitioner 1557757895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medico SCGroup PAC ID 9133219827, 11 clinicians
United Wound Care Institute-IllinoisGroup PAC ID 7416304365, 8 clinicians

Practice addresses (Care Compare)

1480 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1353
Phone (847) 296-6161

2020 Calamos CT
Suite 250
Naperville, IL 60563-2856
Phone (888) 402-0202

Merit-based Incentive Payment System (MIPS)

Final score
97.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209025001ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiorenal Therapeutics of Illinois PLLC CurrentSince Aug 31, 2024 Accepting new patients
United Wound Care Institute-Illinois CurrentSince Jun 1, 2024 Accepting new patients
Nova Medico S.C. CurrentSince Apr 1, 2022 Accepting new patients

Locations

2020 Calamos Ct
Ste 250
Naperville, IL 60563

1420 Renaissance Dr
Park Ridge, IL 60068
Phone (847) 296-6161

1420 Renaissance Dr
Ste 207
Park Ridge, IL 60068
Phone (847) 296-6161

1480 Renaissance Dr
Ste 211
Park Ridge, IL 60068
Phone (847) 296-6161

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1932849049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 LA CROSSE AVE APT 1N",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771734",
            "telephone_number": "224-456-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681330",
            "telephone_number": "847-296-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UY",
        "first_name": "NELSON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.