Nicola Bennett, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6958-33 Issued in WI

Practice address

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864

Phone

(312) 818-4650

Fax

(855) 618-2629

NPI assigned

Apr 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL, FL, LA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Adcs Care Management 1 IncGroup PAC ID 5395247316, 21 clinicians

Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
• Brooks Rehabilitation Home Health Home health agency, Daytona Beach, FL, CCN 107628

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adcs Care Management 1 Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1609759653

  FL

  Medicare reassignment Care Compare group NPD
• Pascarella Hoover Finkelstein & Wagner DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Altamonte Springs, FL
  • NPI 1740275635

  FL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Vpa PC

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1174925663

  IL

  Medicare reassignment NPD
• Adcs Care Management 2 Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1770466724

  FL

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  FL, LA, Nurse Practitioner

  Medicare reassignment NPD
• Apc Holdings LLC

  • Nurse Practitioner
  • Pearl River, LA
  • NPI 1164314845

  LA

  Medicare reassignment
• FPM Holdings LLC

  • Nurse Practitioner
  • Ponchatoula, LA
  • NPI 1134011729

  LA

  Medicare reassignment
• Vpa PC

  • Family Medicine Physician
  • Burr Ridge, IL
  • NPI 1912521071
  NPD
• Pascarella, Hoover, Finkelstein, Wagner, DPM, PA

  • Foot Surgery Podiatrist
  • Orlando, FL
  • NPI 1649585571
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Rockford, IL
  • NPI 1578516290
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altercare LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1871529347
  Care Compare affiliation
• Brooks Home Care Advantage, Inc

  • Home Health Agency
  • Daytona Beach, FL
  • NPI 1568041333
  Care Compare affiliation
• Brooks Home Care Advantage, Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1184895740
  Care Compare affiliation

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1942655865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "484-346-1692",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270864",
            "telephone_number": "312-818-4650",
            "fax_number": "855-618-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 N Caron Rd",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610689649",
            "country_code": "US",
            "telephone_number": "815-561-8866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 N Church St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611011006",
            "country_code": "US",
            "telephone_number": "815-494-1594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 E Racine St",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535462344",
            "country_code": "US",
            "telephone_number": "608-373-8000",
            "fax_number": "608-373-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICOLA",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.014255",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.014255",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.014255",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6958-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942655865",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbennett408150@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nbennett408150@direct-ehr-ssmhc.com",
            "address_1": "3400 E Racine St",
            "city": "Janesville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535462344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3400 E Racine St",
            "city": "Janesville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535462344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachery Beezhold
• Maryam Beilani
• Hannah Ashenafi Belay, MA
• Jaime Belmares Avalos, MD
• Ruby Beltran, OTR/L
• Laura Bergeron, DPT
• Elizabeth Valencia Bernardino, M.D.
• Eric C Beyer, MD
• Bioconcepts Inc
• Roderick R Birnie, MD

• All providers in Burr Ridge, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.

Verify at the official NPI Registry.