Individual provider Active NPI

Greta Obereiner, APN

  • Pediatric Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1053599423
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209.004053 Issued in IL
Practice address
1801 Windsor Rd
Champaign, IL 61822-6217
Phone
(217) 366-8130
Fax
(217) 366-6106
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209.004053 IL Primary

Addresses

Primary practice location

1801 Windsor Rd
Champaign, IL 61822-6217

Mailing address

721 W Lake St Ste 202
Addison, IL 60101-2035
Phone (217) 621-6755

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
I20080430000890 IL Practitioner - Nurse Practitioner 4486733524 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.004053ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jul 14, 2025 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Jul 14, 2025 Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Locations

721 W Lake St
Ste 202
Addison, IL 60101
Phone (630) 757-4010

245 S Gary Ave
Ste 200
Bloomingdale, IL 60108
Phone (630) 893-5230

600 W Fulton St
Ste 300
Chicago, IL 60661

Interoperability endpoints

  • Direct secure messaging: gobereiner27766@direct.achn.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1053599423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST STE 202",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012035",
            "telephone_number": "217-621-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WINDSOR RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226217",
            "telephone_number": "217-366-8130",
            "fax_number": "217-366-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEREINER",
        "first_name": "GRETA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.004053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.