Individual provider Active NPI

Jimmy Andrada Orinion, NP

  • Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1962234468
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.030261 Issued in IL
Practice address
1480 Renaissance Dr Ste 211
Park Ridge, IL 60068-1353
Phone
(847) 296-6161
NPI assigned
Aug 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 209.030261 IL Primary

Addresses

Primary practice location

1480 Renaissance Dr Ste 211
Park Ridge, IL 60068-1353

Mailing address

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

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
I20241004000458 IL Practitioner - Nurse Practitioner 1456882281 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medico SCGroup PAC ID 9133219827, 11 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.030261ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senf NP Family Medicine PLLC CurrentSince Feb 23, 2026 Accepting new patients
United Wound Care Institute-Illinois CurrentSince Aug 12, 2024 Accepting new patients
Nova Medico S.C. CurrentSince Sep 1, 2024 Accepting new patients

Locations

2020 Calamos Ct
Ste 250
Naperville, IL 60563

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

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1962234468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR STE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681353",
            "telephone_number": "847-296-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR STE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681353",
            "telephone_number": "847-296-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORINION",
        "first_name": "JIMMY",
        "middle_name": "ANDRADA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.030261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.