Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ANNELISE NICOLE WADDOUPS MD
NPI 1679411854
Internal Medicine in Chicago, IL

Active since March 23, 2026PECOS Enrolled
820 S WOOD ST STE 100, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 11, 2026, Mar 23, 2026 (2 updates tracked since 2026).

About Mrs. Annelise Nicole Waddoups Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANNELISE NICOLE WADDOUPS MD (NPI 1679411854) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125.087904) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679411854
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. ANNELISE NICOLE WADDOUPSCredential: MD
Location Address820 S WOOD ST STE 100Chicago, IL 60612-4325
Mailing Address820 S Wood St Ste 100Chicago, IL 60612-4325 · (312) 996-2933
Sole ProprietorNo
Enumeration DateMarch 23, 2026
Last NPPES UpdateOctober 11, 20262 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1679411854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.087904
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
820 S WOOD ST STE 100, Chicago, IL 60612

Other Names 1

Former Name (1)Ms. Annelise Nicole Preite

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Annelise Nicole Waddoups Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Neurological Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Orthopaedic Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Ophthalmology
820 S WOOD ST STE 100
CHICAGO, IL 60612
Family Medicine
820 S WOOD ST STE 100
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612

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 Annelise Waddoups's NPI number?

The NPI number for Annelise Waddoups is 1679411854. It was assigned to this individual provider in the NPPES registry on March 23, 2026. The provider is also known as Ms. Annelise Nicole Preite.

Where is Annelise Waddoups located?

Annelise Waddoups practices at 820 S Wood St Ste 100, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Annelise Waddoups's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Annelise Waddoups enrolled in Medicare?

Yes. Annelise Waddoups is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annelise Waddoups was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.