Sarah Pettry-Soto, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209023108 Issued in IL

Practice address

27240 W Saxony Dr Ste 201
Channahon, IL 60410-1417

Phone

(815) 467-1518

Fax

(815) 467-7419

NPI assigned

Mar 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarah.pettry-soto@direct-address.org
• Direct secure messaging: sarah.pettry-soto.1@14307.direct.athenahealth.com

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.

• Morris Hospital

  • General Practice Physician
  • Morris, IL
  • NPI 1558466268
  Medicare reassignment Care Compare group NPD
• Morris Hospital

  • Clinical Medical Laboratory
  • Morris, IL
  • NPI 1003916412
  NPD
• Morris Hospital

  • General Practice Physician
  • Channahon, IL
  • NPI 1275648511
  NPD
• Morris Hospital

  • Health Service Clinic/Center
  • Morris, IL
  • NPI 1376658658
  NPD
• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  NPD

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

• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  Care Compare affiliation

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1033866199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27240 W SAXONY DR STE 201",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604101417",
            "telephone_number": "815-467-1518",
            "fax_number": "815-467-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTRY-SOTO",
        "first_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041439278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "209.023108",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newsome Rehabilitation Center
• Rachel Ormins, PTA
• Paula S Fillak,DMD LTD
• Gustavo A Pedraza, M.D.
• Personalized Nurse Practitioner Care PLLC
• Sheri Pierce, RN
• Anna Piper, NP
• Mackenzie Rue Popko, DMD
• Amy M Pruett, PHARM.D
• Katarzyna Pycinska, DDS

• Family Nurse Practitioner in Channahon, IL
• Providers in Channahon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.

Verify at the official NPI Registry.