Individual provider Active NPI

Josette Dutcher, APRN-BC, FNP

  • Family Nurse Practitioner
  • Lakemoor, IL
National Provider Identifier
1033392857
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.002108 Issued in IL
Practice address
27655 Illinois Route 120
Lakemoor, IL 60051-1293
Phone
(815) 458-1500
Fax
(815) 458-1516
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.002108 IL Primary

Addresses

Primary practice location

27655 Illinois Route 120
Lakemoor, IL 60051-1293

Mailing address

27655 Illinois Route 120
Lakemoor, IL 60051-1293
Phone (815) 458-1500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jdutcher205459@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000545 IL Practitioner - Nurse Practitioner 9133280225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.002108ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients

Locations

3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

27655 W State Route 120
Lakemoor, IL 60051
Phone (630) 368-1776

3925 W Elm St
McHenry, IL 60050
Phone (224) 225-0302

63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1033392857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27655 ILLINOIS ROUTE 120",
            "city": "LAKEMOOR",
            "state": "IL",
            "postal_code": "600511293",
            "telephone_number": "815-458-1500",
            "fax_number": "815-458-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27655 ILLINOIS ROUTE 120",
            "city": "LAKEMOOR",
            "state": "IL",
            "postal_code": "600511293",
            "telephone_number": "815-458-1500",
            "fax_number": "815-458-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTCHER",
        "first_name": "JOSETTE",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.002108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdutcher205459@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3925 W Elm St",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600504361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3925 W Elm St",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600504361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakemoor, IL

Sources for this page

Verify at the official NPI Registry.