Active NPI
Stella J Munoz, APRN
- Family Nurse Practitioner
- St Charles, IL
National Provider Identifier
1023899275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.000581
- Practice address
- 3825 Campton Hills Dr
St Charles, IL 60175-6062 - Phone
- (630) 584-0506
- Fax
- (630) 584-2669
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277.000581 | IL | Primary |
Addresses
Primary practice location
3825 Campton Hills Dr
St Charles, IL 60175-6062
Mailing address
713 W Merle Ave
Villa Park, IL 60181-1410
Phone (630) 430-4861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.000581 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prison Health Clinic/Center
- St Charles, IL
- NPI 1902152846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1023899275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W MERLE AVE",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "601811410",
"telephone_number": "630-430-4861",
"fax_number": "630-584-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 CAMPTON HILLS DR",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601756062",
"telephone_number": "630-584-0506",
"fax_number": "630-584-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "STELLA",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.000581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.