Desiree Michelle Provax, APN in Chicago, IL - Medicare Nurse Practitioner

Desiree Michelle Provax, APN is a medicare enrolled "Nurse Practitioner" in Chicago, Illinois. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Humboldt Park Health and her current practice location is 5145 N California Ave Ste 331, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1027.

Desiree Michelle Provax is licensed to practice in Illinois (license number 209018899) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942760962.

Contact Information

	Desiree Michelle Provax, APN
	5145 N California Ave Ste 331, Chicago, IL 60625-3661
	(847) 570-1027
	(773) 989-1734

Map and Direction

Provider's Profile

Full Name	Desiree Michelle Provax
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	5145 N California Ave Ste 331, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Desiree Michelle Provax graduated from nursing school in 2018

NPI Data:

NPI Number: 1942760962
Provider Enumeration Date: 03/25/2019
Last Update Date: 11/21/2025

Medicare PECOS Information:

PECOS PAC ID: 8022350289
Enrollment ID: I20190508002712

Medical Identifiers

Medical identifiers for Desiree Michelle Provax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942760962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209018899 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209018899 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norwegian-american Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Humboldt Park Health	8921907072	93

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Desiree Michelle Provax allows following entities to bill medicare on her behalf.

Entity Name	Humboldt Park Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704

Entity Name	Vitae Health Medical Illinois, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desiree Michelle Provax is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Desiree Michelle Provax, APN 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 982-6715	Desiree Michelle Provax, APN 5145 N California Ave Ste 331, Chicago, IL 60625-3661 Ph: (847) 570-1027

Reviews and Comments

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Desiree Michelle Provax, APN - Medicare Nurse Practitioner in Chicago, IL