Stacey L Boetto, DNP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277000185 Issued in IL

Practice address

142 E Ontario St Ste 1200
Chicago, IL 60611-2750

Phone

(312) 535-9440

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Catalyst Chiropractic LLC

  • Chiropractor
  • New Lenox, IL
  • NPI 1053669580
  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1104334945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E ONTARIO ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112750",
            "telephone_number": "312-535-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E ONTARIO ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112750",
            "telephone_number": "312-535-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Raven Rd",
            "address_purpose": "LOCATION",
            "city": "Shorewood",
            "state": "IL",
            "postal_code": "604049639",
            "country_code": "US",
            "telephone_number": "815-546-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOETTO",
        "first_name": "STACEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2025-09-12",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017015",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017015",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Boers, MD
• Kari Michelle Boersen, PA-C
• Meghan Kathleen Boesen, APN, CNP
• Amy M Boettcher, CRNA
• Katherina Renate Boettge, MD
• Boffa Medical Group LLC
• James Frank Boffa, M.D.
• Margaret Marie Boffa, MT-BC
• Catherine Bogacki
• Michele T Bogacki, D.D.S.

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.