NPPES file of Aug 9, 2026

Audrey Oetomo

Pediatric Nurse Practitioner · Chicago, IL

Audrey Oetomo is a pediatric nurse practitioner with a practice address in Chicago, Illinois, and NPI 1457789315, issued on Oct 30, 2013. Check the license (Illinois 209013763, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1457789315
Name
Audrey Oetomo
Primary taxonomy
Pediatric Nurse Practitioner 363LP0200X
License number
209013763 IL
Self-reported in NPPES; status is on the state search
Practice location
5841 S Maryland Ave, Chicago, IL 60637
Phone
(888) 824-0200
Enumerated
Oct 30, 2013
Record last updated
Oct 24, 2022
Medicare enrollment
Enrolled (PECOS I20160930000797); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest pediatric nurse practitioner records → All 687 in Illinois → Look up another NPI →

Also registered at 5841 S Maryland Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ma. Theresa Abaring, CRNACertified Registered Nurse Anesthetist1962647586
  2. Rouzbeh AbbasgholizadehRetina Specialist (Ophthalmology) Physician1881510030
  3. Jehad Abdalla, MDSleep Medicine (Internal Medicine) Physician1053898684
  4. Sara Abdelaziz, MDEndocrinology, Diabetes & Metabolism Physician1598258089
  5. Noor Abdelrahman, PA-CPhysician Assistant1851012413
  6. Unknown Abdul Hanan, MDBlood Banking & Transfusion Medicine Physician1750022240

Verify Audrey Oetomo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 209013763    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. University OF ChicagoChicago, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Audrey Oetomo among 687 pediatric nurse practitioner records in Illinois

Audrey Oetomo is one of 687 pediatric nurse practitioner records with a practice address in Illinois. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 41% of them.

  • NPI issued2013 · 41% of these records are older, 55% newer
  • In a Medicare fileYes · 32% of these records are
  • In the CMS Doctors and Clinicians fileYes · 6% of these records are
  • Graduated2013 · median 2019 among the 44 with a school on file
  • Record last updated2022 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0200X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Nurse Practitioner providers in Illinois

There are 687 pediatric nurse practitioner records in Illinois.

All 687 in Illinois → Every provider in Chicago → Pediatric Nurse Practitioner nationwide →

The 8 pediatric nurse practitioner records with the nearest ZIP codes

  1. Nicole Carlson, RN, CPNPChicago, IL 606371013161173
  2. Christine ElsenChicago, IL 606371720279136
  3. Patricia Engebretson, RN, MSN, CPNPChicago, IL 606371982877650
  4. Christa FoxChicago, IL 606371295061075
  5. Susan GradleChicago, IL 606371447444682
  6. Melissa Gray, APNChicago, IL 606371679788079
  7. Judith HollemanChicago, IL 606371740474063
  8. Amanda JohnsonChicago, IL 606371184818825

Common questions

What is Audrey Oetomo's NPI number?

Audrey Oetomo's National Provider Identifier (NPI) is 1457789315, issued on Oct 30, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Audrey Oetomo located?

The NPPES record lists a practice address at 5841 S Maryland Ave, Chicago, IL, 60637. Phone: (888) 824-0200. Providers update this record themselves, so call before visiting.

How can I verify Audrey Oetomo's license?

NPPES lists Illinois license number 209013763, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.