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Active NPI 1326791914 Individual Practitioner Female Practitioner

Violet Corinne Boothe Wiersum , APRN, CNP

Nurse Practitioner • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Violet Wiersum, APRN, CNP is a certified Nurse Practitioner practicing in Chicago, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Violet Wiersum delivers high-quality medical care to the local community at 676 N SAINT CLAIR ST STE 14-044.

Violet Wiersum is affiliated with Medstar Medical Group Ii Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

676 N Saint Clair St Ste 14-044

Chicago, IL 606112927

Telephone 3129088163
Fax 3126951394

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Chicago, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -3.9 yrs vs City Avg
City Avg: 8.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
961 Specialists

Practicing in Chicago, IL (4929 Statewide)

Telehealth Adoption Rate
19.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wiersum (5 Years) 5 Yrs
Chicago Specialty Average (8.9 Years) 8.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
12 12 $678.00 $189.09

Medical Specialties & State Licenses

CMS Verified: 2022-09-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209025108

(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.

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License IL 041421701

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 209025108

Definition to come...

Hospital & Practice Group Affiliations

Medstar Medical Group Ii Llc

1145 19th St Nw, Washington, DC 200363735

Phone: 2024292401

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Cody Kelley , PA-C

Physician Assistant

NPI 1033927462

Physician Assistant (Certified)

Samantha Rush , APRN, CNP

Nurse Practitioner

NPI 1063382265

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Mackenzie Golub , PA-C

Physician Assistant

NPI 1144844176

Physician Assistant (Certified)

James Myers , ACNPC-AG

Nurse Practitioner

NPI 1205478906

ACNPCAG

Dr. Jose Castellanos , MD

Internal Medicine

NPI 1245790377

Doctor of Medicine (M.D.)

Dr. Krishnan Warrior , MD

Internal Medicine - Pulmonary Disease

NPI 1255712162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 21, 2022

Registered at 676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 606112927 (Tel: 3129088163)

📍
Updated Business Mailing Address September 21, 2022

Registered at 676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 606112927 (Tel: 3129088163)

👤
Provider Name / Credentials Updated September 21, 2022

Recorded as VIOLET WIERSUM, APRN, CNP

NPI Profile Active February 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2022

Registered at 251 E HURON ST, CHICAGO, IL 606113055 (Tel: 3129262000)

📍
Updated Business Mailing Address February 02, 2022

Registered at 2528 N MONTICELLO AVE APT 2, CHICAGO, IL 606471114 (Tel: 6309918613)

👤
Provider Name / Credentials Updated February 02, 2022

Recorded as VIOLET WIERSUM, ACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2022

Registered Nurse (License #041421701 in IL)

🟢
Initial NPI Registration & Enumeration February 02, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326791914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2022
Last Update: September 21, 2022
Sole Proprietor: No

Mailing Address

676 N Saint Clair St Ste 14-044

Chicago, IL 606112927

Phone: 3129088163

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.