Individual provider Active NPI

Julie Pagel, FNP

  • Family Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1962946483
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015119 Issued in IL
Practice address
10755 W 143Rd St
Orland Park, IL 60462
Phone
(708) 590-7150
Fax
(708) 590-7151
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 209015119 IL Primary

Addresses

Primary practice location

10755 W 143Rd St
Orland Park, IL 60462

Mailing address

674 Fairway LN
Frankfort, IL 60423-9018
Phone (715) 574-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209015119ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration in, LLC CurrentSince Feb 1, 2021 Accepting new patients
Center for Vein Restoration Il LLC CurrentSince Oct 1, 2020 Accepting new patients
Center for Vein Restoration in, LLC CurrentSince Feb 1, 2021 Accepting new patients
Center for Vein Restoration Il LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

2001 Butterfield Rd
Ste 1000
Downers Grove, IL 60515

10755 W 143rd St
Orland Park, IL 60462
Phone (708) 226-4800

236 E Irving Park Rd
Wood Dale, IL 60191
Phone (301) 982-2000

33 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 644-6355

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

Interoperability endpoints

  • Direct secure messaging: julie.pagelcrnp.p4@direct.cvm-usa.nextgenshare.com

Organizations & group practices 4

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1962946483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 FAIRWAY LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239018",
            "telephone_number": "715-574-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60462",
            "telephone_number": "708-590-7150",
            "fax_number": "708-590-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGEL",
        "first_name": "JULIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.