Individual provider Active NPI

Genevieve Marie Spittler, DNP APRN AGACNP-BC

  • Acute Care Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1104515972
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209.027318 Issued in IL
Practice address
Rush University Medical Group
2040 Ogden Avenue, Suite 304
Aurora, IL 60504
Phone
(630) 898-3727
Fax
(630) 499-2430
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209.027318 IL Primary

Addresses

Primary practice location

Rush University Medical Group
2040 Ogden Avenue, Suite 304
Aurora, IL 60504

Mailing address

261 Butte View Dr
Bolingbrook, IL 60490-1515
Phone (630) 267-4137

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
I20230626002078 IL Practitioner - Nurse Practitioner 0648638551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

2040 Ogden Ave
Suite 304
Aurora, IL 60504-7205
Phone (630) 898-3727

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.027318ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Memorial Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Rush University Medical Group CurrentSince May 15, 2023 Accepting new patients
Rush University Medical Center CurrentSince May 15, 2023 Accepting new patients

Locations

2000 Ogden Ave
Ste A1100
Aurora, IL 60504
Phone (630) 692-5628

2040 Ogden Ave
Ste 304
Aurora, IL 60504
Phone (630) 236-4270

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

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.

Hospital & facility affiliations 1

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1104515972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BUTTE VIEW DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901515",
            "telephone_number": "630-267-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RUSH UNIVERSITY MEDICAL GROUP",
            "address_2": "2040 OGDEN AVENUE, SUITE 304",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-898-3727",
            "fax_number": "630-499-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITTLER",
        "first_name": "GENEVIEVE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP APRN AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.027318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.