Individual provider Active NPI

Sherree McCool

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1104354257
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016471 Issued in IL
Practice address
11000 S Halsted St
Chicago, IL 60628-3909
Phone
(773) 840-4747
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041379918 IL
Family Nurse Practitioner 363LF0000X 209.016471 IL Primary

Addresses

Primary practice location

11000 S Halsted St
Chicago, IL 60628-3909

Mailing address

17902 Millstone Rd
Hazel Crest, IL 60429-2170
Phone (773) 515-2372

Other practice location 1

17902 Millstone Rd
Hazel Crest, IL 60429-2170
Phone (773) 515-2372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171102002562 IL Practitioner - Nurse Practitioner 5799041059 Reassigns benefits to 3 organizations
I20250701000940 IN Practitioner - Nurse Practitioner 5799041059 Reassigns benefits to 1 organization

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
New Southtown Medical Group S CGroup PAC ID 0547572349, 12 clinicians

Practice addresses (Care Compare)

8205 Cass Ave
Suite 110B
Darien, IL 60561-5319
Phone (773) 840-4747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.65 of 100Reported as group
Quality
52.24
Promoting interoperability
42
Improvement activities
40
Cost
58.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041379918ILMDRegistered Nurse
209.016471ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. CurrentSince Aug 1, 2024 Accepting new patients
Forever Care Home Visiting Physicians Inc CurrentSince Apr 9, 2019 Accepting new patients
New Southtown Medical Group S C CurrentSince Sep 13, 2017 Accepting new patients
Transtreme Nursing Services, Inc PastSince Aug 17, 2025 Accepting new patients

Locations

11000 S Halsted St
Chicago, IL 60628
Phone (773) 264-2236

8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747

2400 E Devon Ave
Ste 286
Des Plaines, IL 60018
Phone (847) 257-7984

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

Organizations & group practices 4

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 6

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104354257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 MILLSTONE RD",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292170",
            "telephone_number": "773-515-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283909",
            "telephone_number": "773-840-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17902 Millstone Rd",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292170",
            "country_code": "US",
            "telephone_number": "773-515-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "SHERREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041379918",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.