Individual provider Active NPI

Tammy Francesca Ryan, APN

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1962642504
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.003216 Issued in IL
Practice address
1851 Silver Cross Blvd Ste 110
New Lenox, IL 60451-9599
Phone
(815) 300-3060
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 277.003216 IL Primary

Addresses

Primary practice location

1851 Silver Cross Blvd Ste 110
New Lenox, IL 60451-9599

Mailing address

1851 Silver Cross Blvd Ste 110
New Lenox, IL 60451-9599
Phone (815) 300-3060

Other practice location 1

21205 Owens Rd
Mokena, IL 60448-2023
Phone (815) 300-2273

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
I20090915000261 IL Practitioner - Nurse Practitioner 6709932817 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint James HospitalGroup PAC ID 0648187252, 74 clinicians

Practice addresses (Care Compare)

2500 W Reynolds St
207 Osf Healthcare Medical Group Pontiac
Pontiac, IL 61764-9774
Phone (815) 844-2001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277.003216ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc CurrentSince Dec 1, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital CurrentSince Jan 21, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 19, 2024 Accepting new patients
Saint James Hospital CurrentSince Jan 21, 2025 Accepting new patients
Health Service Systems, Inc CurrentSince Dec 1, 2023 Accepting new patients
Saint James Hospital Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

21205 Owens Rd
Mokena, IL 60448
Phone (815) 300-2273

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

1851 Silver Cross Blvd
Ste 110
New Lenox, IL 60451
Phone (815) 300-3060

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2500 W Reynolds St
Ste 203
Pontiac, IL 61764
Phone (815) 844-2001

2500 W Reynolds St
Ste 203205206207
Pontiac, IL 61764
Phone (815) 844-2001

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

Organizations & group practices 8

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 2

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1962642504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 SILVER CROSS BLVD STE 110",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519599",
            "telephone_number": "815-300-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SILVER CROSS BLVD STE 110",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519599",
            "telephone_number": "815-300-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21205 Owens Rd",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604482023",
            "country_code": "US",
            "telephone_number": "815-300-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TAMMY",
        "middle_name": "FRANCESCA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.003216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.