LONGEVITY CLINICAL LTC ASSOCIATES OF ILLINOIS PLLC
NPI 1407422447
Nurse Practitioner - Primary Care in Chicago, IL
About Longevity Clinical Ltc Associates Of Illinois Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY CLINICAL LTC ASSOCIATES OF ILLINOIS PLLC (NPI 1407422447) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since June 2021. The organization lists Diane Vincur, Clinical Support Talent Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Longevity Clinical Ltc Associates Of Illinois Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of Illinois PLLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (18)
Chicago, IL 60604
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Longevity Clinical Ltc Associates Of Illinois PLLC's NPI number?
The NPI number for Longevity Clinical Ltc Associates Of Illinois PLLC is 1407422447. It was assigned to this organization in the NPPES registry on June 1, 2021.
Where is Longevity Clinical Ltc Associates Of Illinois PLLC located?
Longevity Clinical Ltc Associates Of Illinois PLLC is located at 6300 N California Ave, Chicago, IL 60659. The listed phone number is (773) 973-1900.
What is Longevity Clinical Ltc Associates Of Illinois PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Longevity Clinical Ltc Associates Of Illinois PLLC enrolled in Medicare?
Yes. Longevity Clinical Ltc Associates Of Illinois PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of Illinois PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Clinical Ltc Associates Of Illinois PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Longevity Clinical Ltc Associates Of Illinois PLLC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Longevity Clinical Ltc Associates Of Illinois Pllc · NPI 1407422447
Primary Care organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since June 1, 2021.
## Identity
- **NPI:** 1407422447 (Entity type: Organization)
- **Enumerated:** June 1, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Diane Vincur, CLINICAL SUPPORT TALENT SPECIALIST
## Practice location
- **Address:** 6300 N CALIFORNIA AVE, Chicago, IL 60659-1702
- **Phone:** (773) 973-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407422447) · Data from the CMS NPPES public registry.