Individual provider Active NPI

Reena James

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1962062208
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019528 Issued in IL
Practice address
9700 Kedvale Ave
Skokie, IL 60076-1122
Phone
(847) 648-0692
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.019528 IL Primary

Addresses

Primary practice location

9700 Kedvale Ave
Skokie, IL 60076-1122

Mailing address

9700 Kedvale Ave
Skokie, IL 60076-1122
Phone (847) 648-0692

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
I20210909001507 IL Practitioner - Nurse Practitioner 8426454851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians
Des Plaines Community Health Care Center IncGroup PAC ID 3678924404, 4 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

380 E Northwest Hwy
Suite 200
Des Plaines, IL 60016-2274
Phone (847) 813-0700

Hospital & facility affiliations

  • John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019528ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Nov 18, 2022 Accepting new patients
Family Care Physicians Inc CurrentSince Aug 1, 2021 Accepting new patients
Cook County CurrentSince Nov 18, 2022 Accepting new patients
Des Plaines Community Health Care Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Cook County Current Accepting new patients
Arvind Patel M.D.S.C. Past Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

4001 W Devon Ave
Ste 212
Chicago, IL 60646

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1900 W Polk St
Ste 220C
Chicago, IL 60612

4001 W Devon Ave
Ste 210
Chicago, IL 60646
Phone (773) 283-8488

380 E Northwest Hwy
Ste 200
Des Plaines, IL 60016
Phone (847) 299-6400

Organizations & group practices 6

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1962062208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 KEDVALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761122",
            "telephone_number": "847-648-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 KEDVALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761122",
            "telephone_number": "847-648-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "REENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.