Individual provider Active NPI

Debra L Bennett Carey, APRN

  • Family Nurse Practitioner
  • Oak Forest, IL
National Provider Identifier
1992384077
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021870 Issued in IL
Practice address
16493 Brenden LN
Oak Forest, IL 60452-4326
Phone
(708) 668-7342
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 209021870 IL Primary

Addresses

Primary practice location

16493 Brenden LN
Oak Forest, IL 60452-4326

Mailing address

16493 Brenden LN
Oak Forest, IL 60452-4326
Phone (708) 668-7342

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
I20220316001835 IL Practitioner - Nurse Practitioner 5496140121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Home Medical Group PLLC CurrentSince Jan 3, 2022 Accepting new patients

Locations

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

1551 Bond St
Ste 143
Naperville, IL 60563
Phone (630) 983-7100

Interoperability endpoints

  • Direct secure messaging: debra.bennett.p1@direct.thmg.nextgenshare.com

Organizations & group practices 1

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1992384077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16493 BRENDEN LN",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524326",
            "telephone_number": "708-668-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16493 BRENDEN LN",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524326",
            "telephone_number": "708-668-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT CAREY",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

Verify at the official NPI Registry.