GWEN M CASSIDY APN NPI 1588063994

Nurse Practitioner (Acute Care) in Chicago, IL

NPI 1588063994 Individual Female Years of Experience 8 Nurse Practitioner Acute Care PECOS Enrolled Accepts Medicare Approved Payment

About GWEN CASSIDY

Gwen Cassidy is a provider established in Chicago, Illinois and her medical specialization is nurse practitioner (acute care) with more than 8 years of experience. The NPI number of Gwen Cassidy is 1588063994 and was assigned on August 2014. The practitioner's primary taxonomy code is 363LA2100X with license number 209011722 (IL). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A nurse practitioner (NP) like Gwen M Cassidy Apn 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.

Gwen Cassidy 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

Gwen Cassidy 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. According to Medicare claims data she has hospital affiliations with Northwestern Memorial Hospital and Northwestern Lake Forest Hospital.

NPI

1588063994

Provider Name GWEN M CASSIDY APN
Provider Location Address675 N SAINT CLAIR ST 17TH FLOOR CHICAGO, IL 60611
Provider Mailing Address675 N SAINT CLAIR ST 17TH FLOOR CHICAGO, IL 60611
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-21-2014
Last Update Date08-21-2014


Primary Taxonomy

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care
License No.209011722
License StateIL

Business Address

GWEN M CASSIDY APN
675 N SAINT CLAIR ST
17TH FLOOR
CHICAGO, IL
ZIP 60611
Phone: (312) 695-5620

Get Directions


Mailing Address

GWEN M CASSIDY APN
675 N SAINT CLAIR ST
17TH FLOOR
CHICAGO, IL
ZIP 60611
Phone: (312) 695-5620



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7214159441
PECOS Enrollment IDI20141104000477
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gwen Cassidy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHWESTERN MEMORIAL HOSPITAL251 E HURON ST
CHICAGO, IL 60611
(312) 926-2000Acute Care Hospitals140281
NORTHWESTERN LAKE FOREST HOSPITAL1000 N WESTMORELAND ROAD
LAKE FOREST, IL 60045
(847) 234-5600Acute Care Hospitals140130

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427047000 STEPHAN U SCHUELE MD
Individual
Psychiatry & Neurology (Neurology)675 N SAINT CLAIR ST GALTER 20-100 DEPARTMENT OF NEUROLOGY
CHICAGO, IL 60611
(312) 695-7950
1962492611 OLGA FRANKFURT MD
Individual
Internal Medicine (Hematology)675 N SAINT CLAIR ST SUITE 21-100
CHICAGO, IL 60611
(312) 695-0990
1881678050 MARY DOI MD
Individual
Internal Medicine675 N SAINT CLAIR ST SUITE 18-200
CHICAGO, IL 60611
(312) 695-0113
1821072919 DAVID BENTREM MD
Individual
Surgery (Surgical Oncology)675 N SAINT CLAIR ST SUITE 100
CHICAGO, IL 60611
(312) 695-1130
1952386054MRS. ANJU PETERS M.D.
Individual
Allergy & Immunology675 N SAINT CLAIR ST STE 18-250
CHICAGO, IL 60611
(312) 695-8624
1134199367 RISHI ARORA MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)675 N SAINT CLAIR ST
CHICAGO, IL 60611
(312) 695-4965
1124098066 DAVID BAKER MD
Individual
Internal Medicine675 N SAINT CLAIR ST GALTER 18-#200
CHICAGO, IL 60611
(312) 695-8630
1932172889 DENISE AU MD
Individual
Internal Medicine675 N SAINT CLAIR ST
CHICAGO, IL 60611
(312) 695-8630
1457325037 DANIEL BATTLE MD
Individual
Internal Medicine (Nephrology)675 N SAINT CLAIR ST SUITE #250
CHICAGO, IL 60611
(312) 695-2887
1316911928 RANDALL BARNES MD
Individual
Obstetrics & Gynecology (Reproductive Endocrinology)675 N SAINT CLAIR ST SUITE #200
CHICAGO, IL 60611
(312) 695-7269
1790750909 DIANE BRESLOW LCSW
Individual
Social Worker (Clinical)675 N SAINT CLAIR ST GALTER 20-100
CHICAGO, IL 60611
(312) 695-7950
1508831470 PATRICK TOSETTI
Individual
Internal Medicine675 N SAINT CLAIR ST GALTER 18-200
CHICAGO, IL 60611
(312) 695-8630
1891761532 AL BENSON MD
Individual
Internal Medicine (Medical Oncology)675 N SAINT CLAIR ST SUITE 100
CHICAGO, IL 60611
(312) 695-0990
1063488898 CHARLES BENNETT MD
Individual
Internal Medicine (Medical Oncology)675 N SAINT CLAIR ST GALTER 21-100
CHICAGO, IL 60611
(312) 695-6180
1285600031 HONORIO BENZON MD
Individual
Anesthesiology (Pain Medicine)675 N SAINT CLAIR ST SUITE 100
CHICAGO, IL 60611
(312) 695-2500
1326014184 KEITH BENZULY MD
Individual
Internal Medicine (Cardiovascular Disease)675 N SAINT CLAIR ST SUITE 100
CHICAGO, IL 60611
(312) 695-4965
1447227269 ROBERT BONOW MD
Individual
Internal Medicine (Cardiovascular Disease)675 N SAINT CLAIR ST GALTER 19-100
CHICAGO, IL 60611
(312) 695-4965
1003883778 HERON RODRIGUEZ MD
Individual
Surgery (Vascular Surgery)675 N SAINT CLAIR ST NORTHWESTERN MEMORIAL HOSPIALT GALTER 19-100
CHICAGO, IL 60611
(312) 695-2714
1316906860 MICHELE BRYK PA
Individual
Physician Assistant675 N SAINT CLAIR ST GALTER 21-100
CHICAGO, IL 60611
(312) 695-0990
1750340113 SERDAR BULUN MD
Individual
Obstetrics & Gynecology (Reproductive Endocrinology)675 N SAINT CLAIR ST GALTER 14-200
CHICAGO, IL 60611
(312) 695-7269

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.