ANNABELLA VIDAL-RUIZ PMHNP NPI 1063867760

Nurse Practitioner (Psychiatric/Mental Health) in Chicago, IL

NPI 1063867760 Individual Female Years of Experience 7 Nurse Practitioner Psychiatric/Mental Health PECOS Enrolled Accepts Medicare Approved Payment

About ANNABELLA VIDAL-RUIZ

Annabella Vidal-ruiz is a provider established in Chicago, Illinois and her medical specialization is nurse practitioner (psychiatric/mental health) with more than 7 years of experience. The NPI number of Annabella Vidal-ruiz is 1063867760 and was assigned on May 2016. The practitioner's primary taxonomy code is 363LP0808X with license number 209014250 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

A nurse practitioner (NP) like Annabella Vidal-ruiz Pmhnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Annabella Vidal-ruiz is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Annabella Vidal-ruiz is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1063867760

Provider Name ANNABELLA VIDAL-RUIZ PMHNP
Provider Location Address2233 W DIVISION ST CHICAGO, IL 60622
Provider Mailing Address2233 W DIVISION ST CHICAGO, IL 60622
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2015
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-01-2016
Last Update Date04-16-2019


Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsychiatric/Mental Health
License No.209014250
License StateIL

Business Address

ANNABELLA VIDAL-RUIZ PMHNP
2233 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone: (312) 770-3038

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Mailing Address

ANNABELLA VIDAL-RUIZ PMHNP
2233 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone:



Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801895263MARUTI BHORADE, M.D.
Organization
Internal Medicine (Nephrology)2233 W DIVISION ST
CHICAGO, IL 60622
(630) 770-2172
1083616650 HONG CHAN AN M.D.
Individual
Anesthesiology2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1437151057DIVISION ANESTHESIA GROUP PC
Organization
Anesthesiology2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1477555910 MICHAEL L. TAM M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1417959909 SESHADRI SADAGOPAN M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1073515581 KEVIN Y. LAU M.D.
Individual
Anesthesiology2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1962404442 DANIEL W. BORVAN CRNA
Individual
Nurse Anesthetist, Certified Registered2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1992707483 EUN KYUNG KIM M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1710989207 PHAIBUL KOSAPHANDHU M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1760484257 LONG K. HAN M.D.
Individual
Anesthesiology2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1215987508DR. JOHN E CONNOLLY M.D.
Individual
Radiology (Diagnostic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-3990
1669422630DR. TODD R BRACK D.O.
Individual
Radiology (Diagnostic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2181
1861447542TUMOR TREATMENT LTD.
Organization
Radiology (Therapeutic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2068
1992741896 AURORITA ESTUR LARIOSA MD
Individual
Pediatrics2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1174555916 LEON JAY FRAZIN M.D.
Individual
Internal Medicine (Cardiovascular Disease)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2438
1942224068 MYUNG H. LEE CRNA
Individual
Nurse Anesthetist, Certified Registered2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPT.
CHICAGO, IL 60622
(312) 770-2000
1205844180 EDWARD COHEN MD
Individual
Internal Medicine (Nephrology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1790898518 MARUTI S. BHORADE M.D.
Individual
Internal Medicine (Nephrology)2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL
CHICAGO, IL 60622
(312) 770-2172
1427156009DR. SATYAVATHI ANNE M.D.
Individual
Radiology (Body Imaging)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-3990

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.