Individual provider Active NPI

Genevieve Anne Waldschmidt, FPA-APN

  • Family Nurse Practitioner
  • Zion, IL
National Provider Identifier
1982107322
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001957 Issued in IL
Practice address
1911 27TH St
Zion, IL 60099-2542
Phone
(847) 377-8800
Fax
(847) 984-5619
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 277001957 IL Primary

Addresses

Primary practice location

1911 27TH St
Zion, IL 60099-2542

Mailing address

1911 27TH St
Zion, IL 60099-2542
Phone (847) 377-8382

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
I20190220000031 IL Practitioner - Nurse Practitioner 7618215500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LakeGroup PAC ID 7214838861, 42 clinicians

Practice addresses (Care Compare)

2400 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 377-8800

Hospital & facility affiliations

  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Feb 18, 2019 Accepting new patients
County of Lake CurrentSince Feb 18, 2019 Accepting new patients
County of Lake Past Accepting new patients

Locations

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

1911 27th St
Zion, IL 60099
Phone (847) 377-8800

Interoperability endpoints

  • Direct secure messaging: genevieve.waldschmidt.p1@direct.lakecountyil.nextgenshare.com

Organizations & group practices 11

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1982107322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 27TH ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992542",
            "telephone_number": "847-377-8382",
            "fax_number": "847-984-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 27TH ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992542",
            "telephone_number": "847-377-8800",
            "fax_number": "847-984-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDSCHMIDT",
        "first_name": "GENEVIEVE",
        "middle_name": "ANNE",
        "credential": "FPA-APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.