NPIMap

Individual provider Active NPI

Kelly S. Drudi, APN

  • Adult Health Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1942578794
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
277.000534 Issued in IL
Practice address
1560 Galway Dr
Aurora, IL 60505-1100
Phone
(630) 569-4236
Fax
(331) 472-2964
NPI assigned
Dec 8, 2011
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 277.000534 IL Primary

Addresses

Primary practice location

1560 Galway Dr
Aurora, IL 60505-1100

Mailing address

1560 Galway Dr
Aurora, IL 60505-1100
Phone (630) 569-4236

Other practice location 1

675 S Roselle Rd
Schaumburg, IL 60193-3100
Phone (800) 979-9595

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
I20120305000067 IL Practitioner - Nurse Practitioner 1658530043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Physical Medicine, LLCGroup PAC ID 4385824366, 3 clinicians

Practice addresses (Care Compare)

1560 Galway Dr
Aurora, IL 60505-1100
Phone (630) 569-4236

2499 E Joliet Hwy
New Lenox, IL 60451-2592
Phone (815) 717-8355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.000534ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Medical Care LLC CurrentSince Mar 10, 2021 Accepting new patients
Sigma Haggerty Medical PA Nurse Practitioner CurrentSince Aug 16, 2017 Accepting new patients
Integrated Physical Medicine, LLC Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients

Locations

50 N Jane Dr
Elgin, IL 60123
Phone (815) 844-2610

500 S Walnut St
Momence, IL 60954
Phone (815) 308-0850

2499 E Joliet Hwy
New Lenox, IL 60451
Phone (815) 462-9420

9777 N Greenwood Ave
Niles, IL 60714
Phone (847) 470-0000

675 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 352-5500

911 S 3rd St
Niles, MI 49120
Phone (269) 684-4320

21333 Haggerty Rd
Ste 150
Novi, MI 48375
Phone (248) 662-0250

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.

Hospital & facility affiliations 9

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1942578794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 GALWAY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051100",
            "telephone_number": "630-569-4236",
            "fax_number": "331-472-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 GALWAY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051100",
            "telephone_number": "630-569-4236",
            "fax_number": "331-472-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 S Roselle Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601933100",
            "country_code": "US",
            "telephone_number": "800-979-9595",
            "fax_number": "248-662-9844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUDI",
        "first_name": "KELLY",
        "middle_name": "S.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277.000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.