Active NPI
Stacey Rogers
- Nurse Practitioner
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209016683
- Practice address
- 3100 Theodore St Ste 201
Joliet, IL 60435-0605 - Phone
- (815) 744-5550
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209016683 | IL | Primary |
Addresses
Primary practice location
3100 Theodore St Ste 201
Joliet, IL 60435-0605
Mailing address
120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000
Other practice location 1
1890 Silver Cross Blvd Ste 415
New Lenox, IL 60451-9575
Phone (815) 717-8750
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Morris Hospital & Healthcare Centers
- Saint Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016683 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Northern Illinois, LTD. | Current | Accepting new patients | |
| Nephrology Associates of Northern Illinois, LTD. | Current | Accepting new patients | |
| Linda Roberts & Associates Inc | Past | Accepting new patients |
Locations
3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884
3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595
800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182
3100 Theodore St
Ste 201
Joliet, IL 60435
Phone (815) 744-5550
1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000
120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780
1890 Silver Cross Blvd
Ste 415
New Lenox, IL 60451
Phone (815) 717-8750
120 W 22nd St
Oak Brook, IL 60523
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
Interoperability endpoints
- srogers60213@direct.acumenmd.com
- stacey.rogers@direct.davitaphysiciansolutions.com
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.
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1134319924
-
- Registered Dietitian
- Wheaton, IL
- NPI 1073832002
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1033621024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231557",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 THEODORE ST STE 201",
"city": "JOLIET",
"state": "IL",
"postal_code": "604350605",
"telephone_number": "815-744-5550"
}
],
"practiceLocations": [
{
"address_1": "1890 Silver Cross Blvd Ste 415",
"address_purpose": "LOCATION",
"city": "New Lenox",
"state": "IL",
"postal_code": "604519575",
"country_code": "US",
"telephone_number": "815-717-8750",
"fax_number": "815-717-8751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "STACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209016683",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231557",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.