Organization Active NPI

Suburban, Advanced Practice Provider, LLC

  • Family Nurse Practitioner
  • Oswego, IL
National Provider Identifier
1144171331
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SUBURBAN, ADVANCED PRACTICE PROVIDER, LLC
Practice address
503 Bent Tree CT
Oswego, IL 60543-8734
Phone
(331) 200-0796
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Nancy Navarro, MSNNPI 1265906523
Title
Apn
Phone
(331) 200-0796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

503 Bent Tree CT
Oswego, IL 60543-8734

Mailing address

503 Bent Tree CT
Oswego, IL 60543-8734
Phone (331) 200-0796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260403001903 IL Part B Supplier - Clinic/Group Practice 0244715522 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL; St Charles, IL; Plainfield, IL; Oswego, IL; North Aurora, IL; Batavia, IL; Aurora, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1144171331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BENT TREE CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438734",
            "telephone_number": "331-200-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BENT TREE CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438734",
            "telephone_number": "331-200-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN, ADVANCED PRACTICE PROVIDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "331-200-0796",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.