Individual provider Active NPI

Hannah Leavitt, DNP-C

  • Primary Care Nurse Practitioner
  • Bannockburn, IL
National Provider Identifier
1962866749
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209014125 Issued in IL
Practice address
2101 Waukegan Rd Ste 104
Bannockburn, IL 60015-1836
Phone
(847) 317-1717
Fax
(847) 317-9305
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209014125 IL Primary

Addresses

Primary practice location

2101 Waukegan Rd Ste 104
Bannockburn, IL 60015-1836

Mailing address

2101 Waukegan Rd Ste 104
Bannockburn, IL 60015-1836
Phone (847) 317-1717

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
I20170109002095 IL Practitioner - Nurse Practitioner 3476834375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent M Nathan MD PLLCGroup PAC ID 2365942885, 5 clinicians

Practice addresses (Care Compare)

2101 Waukegan Rd
Suite 200
Bannockburn, IL 60015-1800
Phone (847) 317-1717

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209014125ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brent M Nathan MD PLLC CurrentSince Jul 23, 2025 Accepting new patients
One Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
One Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Proper Balance Healthcare Past Accepting new patients
Proper Balance Medical, LLC PastSince Aug 10, 2015 Accepting new patients

Locations

2101 Waukegan Rd
Ste 104
Bannockburn, IL 60015
Phone (847) 317-1717

2101 Waukegan Rd
Ste 200
Bannockburn, IL 60015
Phone (847) 317-1717

181 W Madison St
Ste 3825
Chicago, IL 60602
Phone (312) 999-5510

1931 N Halsted St
Chicago, IL 60614
Phone (312) 998-5510

730 Waukegan Rd
Deerfield, IL 60015

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.

Hospital & facility affiliations 1

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1962866749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WAUKEGAN RD STE 104",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151836",
            "telephone_number": "847-317-1717",
            "fax_number": "847-317-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WAUKEGAN RD STE 104",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151836",
            "telephone_number": "847-317-1717",
            "fax_number": "847-317-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "HANNAH",
        "credential": "DNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209014125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

Verify at the official NPI Registry.