Active NPI
Mary Patricia Becker, RN, MSN, FNP-BC
- Nurse Practitioner
- Danville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.008983
- Practice address
- 812 N Logan Ave
Danville, IL 61832-3752 - Phone
- (217) 443-5221
- NPI assigned
- Nov 2, 2011
- Last updated
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.008983 | IL | Primary |
Addresses
Primary practice location
812 N Logan Ave
Danville, IL 61832-3752
Mailing address
533 W North Ave
Suite 102
Elmhurst, IL 60126-2135
Phone (630) 941-4359
Other practice location 1
100 Gore Rd
Morris, IL 60450-9466
Phone (815) 364-8919
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008983 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Kennekuk Emergency Physicians LLC | Past | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
1511 Greenwood Rd
Glenview, IL 60026
Phone (847) 729-9090
100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919
150 W High St
Morris, IL 60450
Phone (815) 942-2129
6631 N Milwaukee Ave
Niles, IL 60714
Phone 84723561303
Interoperability endpoints
- mary.becker.1@14940.direct.athenahealth.com
Organizations & group practices 7
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.
-
- General Practice Physician
- Morris, IL
- NPI 1558466268
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
dba Local MD Urgent Care
- Family Medicine Physician
- Homewood, IL
- NPI 1215407812
-
- Clinical Medical Laboratory
- Morris, IL
- NPI 1003916412
-
dba Morris Hospital & Healthcare Centers
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- Emergency Medicine Physician
- Danville, IL
- NPI 1659523777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1982980124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W NORTH AVE",
"address_2": "SUITE 102",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262135",
"telephone_number": "630-941-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 N LOGAN AVE",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618323752",
"telephone_number": "217-443-5221"
}
],
"practiceLocations": [
{
"address_1": "100 Gore Rd",
"address_purpose": "LOCATION",
"city": "Morris",
"state": "IL",
"postal_code": "604509466",
"country_code": "US",
"telephone_number": "815-364-8919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "RN, MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.008983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
- Bayview Family Clinic LTD (Danville Pediatric Center)
- Loni Beasley, RN
- Julie Rose Beauchamp, PHARMD
- Beautiful Scars Counseling and Wellness PLLC
- Beautiful Things Birth and Lactation Services PLLC (Beautiful Things Birth Services)
- Brittany Michelle Bedford
- Behold Star Eyes Limited Liability Company Utang Ekpo Sole MBR
- Jean Marie Bell, PHARMACIST
- Jeremy N Bell, BSW
- Susan Berg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.