Individual provider Active NPI

Elizabeth Ann Cacello

  • Acute Care Nurse Practitioner
  • Morris, IL
National Provider Identifier
1982061669
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209013729 Issued in IL
Practice address
150 W High St
Morris, IL 60450-1463
Phone
(815) 942-2932
NPI assigned
Jan 26, 2016
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209013729 IL Primary

Addresses

Primary practice location

150 W High St
Morris, IL 60450-1463

Mailing address

725 School St
Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

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
I20160321001167 IL Practitioner - Nurse Practitioner 7911204839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians
Redeeming Health at Lardi Clinic LLCGroup PAC ID 6305209636, 2 clinicians

Practice addresses (Care Compare)

100 Gore Rd
Morris, IL 60450-9466
Phone (815) 942-0545

101 S Prairie Ave
Dwight, IL 60420-1350
Phone (815) 584-3291

1450 E Division St
Morris Hospital Diamond Coal City Campus
Diamond, IL 60416-6050
Phone (815) 634-3500

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

495 E 1St St
Coal City, IL 60416-1633
Phone (815) 634-3750

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital Current Accepting new patients
Redeeming Health at Lardi Clinic LLC CurrentSince Aug 16, 2023 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Feb 16, 2016 Accepting new patients
Morris Hospital Current Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518

495 E 1st St
Coal City, IL 60416
Phone (815) 634-3750

1450 E Division St
Diamond, IL 60416
Phone (815) 364-3500

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919

150 W High St
Morris, IL 60450
Phone (815) 942-2129

725 School St
Ste A
Morris, IL 60450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1982061669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST",
            "address_2": "STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501463",
            "telephone_number": "815-942-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACELLO",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209013729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.