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MISS TANIYAMOL JOSEPH NP
NPI 1760030498
Nurse Practitioner in Waukegan, IL

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
2504 WASHINGTON ST STE 102, WAUKEGAN, IL 60085(847) 623-7590 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, Aug 27, 2019 (2 updates tracked since 2019).

About Miss Taniyamol Joseph Np NPPES

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

MISS TANIYAMOL JOSEPH NP (NPI 1760030498) is an individual nurse practitioner in Waukegan, Illinois, licensed in Illinois (209019253) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Des Plaines, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1760030498
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS TANIYAMOL JOSEPHCredential: NP
Location Address2504 WASHINGTON ST STE 102Waukegan, IL 60085-4960
Mailing Address8995 Kennedy Dr Apt 1fDes Plaines, IL 60016-5400 · (224) 616-0485
Phone(847) 623-7590
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 27, 2019
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1760030498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209019253
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2504 WASHINGTON ST STE 102, Waukegan, IL 60085
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Secondary Practice Location 1

Location 18995 Kennedy Dr Apt 1FDes Plaines, IL 60016-5400 · Phone (224) 616-0485

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

Miss Taniyamol Joseph Np 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 ID1254756331
PECOS Enrollment IDI20200806001521
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 60085 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 3

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

INTEGRA HEALTHCARE SC
Internal Medicine
2504 WASHINGTON ST STE 102
WAUKEGAN, IL 60085
Lake County (847) 623-7590
SACHIN JAIN MD
Internal Medicine
2504 WASHINGTON ST STE 102
WAUKEGAN, IL 60085
Lake County (847) 623-7590
TATANISHA FUNCHES
Nurse Practitioner (Family)
2504 WASHINGTON ST STE 102
WAUKEGAN, IL 60085
Lake County (847) 623-7590

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 Taniyamol Joseph's NPI number?

The NPI number for Taniyamol Joseph is 1760030498. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Taniyamol Joseph located?

Taniyamol Joseph practices at 2504 Washington St Ste 102, Waukegan, IL 60085. The listed phone number is (847) 623-7590.

What is Taniyamol Joseph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Taniyamol Joseph enrolled in Medicare?

Yes. Taniyamol Joseph 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 Taniyamol Joseph was last updated on April 26, 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.