1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Nurse Practitioner
  6. NPI Profile

ANDREA DENISE POWELL
NPI 1689298267
Nurse Practitioner - Family in Chicago, IL

Active since May 30, 2020PECOS EnrolledAccepts Medicare Assignment
3510 W 79TH ST, CHICAGO, IL 60652(773) 978-0757 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2021, Sep 9, 2020, Jul 10, 2020 and 1 more (4 updates tracked since 2020).

About Andrea Denise Powell NPPES

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

ANDREA DENISE POWELL (NPI 1689298267) is an individual family provider in Chicago, Illinois, licensed in Illinois (209021507) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689298267
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA DENISE POWELL
Location Address3510 W 79TH STChicago, IL 60652-1430
Mailing Address3510 W 79th StChicago, IL 60652-1430 · (773) 978-0757 · Fax (773) 978-0705
Phone(773) 978-0757
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 30, 2020
Last NPPES UpdateMarch 16, 20214 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
✔ NPI 1689298267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209021507
3510 W 79TH ST, Chicago, IL 60652
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1936 Central Park AveFlossmoor, IL 60422-2258 · Phone (808) 348-1090
Location 25500 Hohman Ave Ste 2CHammond, IN 46320-1942 · Phone (219) 937-9653 · Fax (219) 937-2981

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Denise Powell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668890252
PECOS Enrollment IDI20210617002649
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 60652 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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 6

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

ILLIANA HOME MEDICAL EQUIPMENT AND SUPPLIES LLC
Durable Medical Equipment & Medical Supplies
3510 W 79TH ST
CHICAGO, IL 60652
Cook County (773) 778-8800
ACCUSCI LABS INC
Clinical Medical Laboratory
3510 W 79TH ST, SUITE 3
CHICAGO, IL 60652
Cook County (773) 863-5164
RICHARD FELICELDA
Radiologic Technologist (Vascular Sonography)
3510 W 79TH ST, SUITE 4
CHICAGO, IL 60652
Cook County (847) 329-7500
CHICAGOLAND PHYSICIAN CONSORTIUM, LLC
Hospitalist
3510 W 79TH ST
CHICAGO, IL 60652
Cook County (773) 459-9661
MR.OAK
Family Medicine (Adult Medicine)
3510 W 79TH ST
CHICAGO, IL 60652
Cook County (312) 259-8555
QUALITY HOME CARE SERVICES LTD
Home Health
3510 W 79TH ST
CHICAGO, IL 60652
Cook County (773) 471-0890

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 Andrea Powell's NPI number?

The NPI number for Andrea Powell is 1689298267. It was assigned to this individual provider in the NPPES registry on May 30, 2020.

Where is Andrea Powell located?

Andrea Powell practices at 3510 W 79th St, Chicago, IL 60652. The listed phone number is (773) 978-0757.

What is Andrea Powell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Powell enrolled in Medicare?

Yes. Andrea Powell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrea Powell was last updated on March 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.