Active NPI
Candace Joy Esposito, FNP-BC
- Nurse Practitioner
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209015310
- Practice address
- 750 E Terra Cotta Ave Ste a
Crystal Lake, IL 60014-3621 - Phone
- (815) 455-1800
- NPI assigned
- Sep 30, 2019
- Last updated
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209015310 | IL | |
| Nurse Practitioner | 363L00000X | 209015310 | IL | Primary |
Addresses
Primary practice location
750 E Terra Cotta Ave Ste a
Crystal Lake, IL 60014-3621
Mailing address
6710 Galway Dr
McHenry, IL 60050-8602
Phone (815) 382-8767
Other practice location 1
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 759-4860
Other practice location 2
680 N Lake Shore Dr
Chicago, IL 60611-4546
Phone (312) 695-6868
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 788-7500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015310 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Chicago, IL 60611
Phone (312) 503-6000
360 Station Dr
Ste 300
Crystal Lake, IL 60014
Phone (815) 455-1800
360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500
750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1114568367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 GALWAY DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508602",
"telephone_number": "815-382-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E TERRA COTTA AVE STE A",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143621",
"telephone_number": "815-455-1800"
}
],
"practiceLocations": [
{
"address_1": "4201 W Medical Center Dr",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600508409",
"country_code": "US",
"telephone_number": "815-759-4860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 N Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114546",
"country_code": "US",
"telephone_number": "312-695-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPOSITO",
"first_name": "CANDACE",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015310",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209015310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.