Individual provider Active NPI

Shara Ann Brankin, APN-CNP

  • Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1154792406
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003144 Issued in IL
Practice address
1425 N Randall Rd
Elgin, IL 60123-2300
Phone
(630) 408-3902
NPI assigned
Oct 13, 2015
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277003144 IL Primary
Family Nurse Practitioner 363LF0000X 277003144 IL
Family Nurse Practitioner 363LF0000X A181345 IA

Addresses

Primary practice location

1425 N Randall Rd
Elgin, IL 60123-2300

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-2040

Other practice location 1

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0200

Other names 1

  • Shara Ann Marissa Weidacher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20151118000561 IL Practitioner - Nurse Practitioner 6406156702 Reassigns benefits to 5 organizations
I20241030004006 IA Practitioner - Nurse Practitioner 6406156702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians

Practice addresses (Care Compare)

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277003144ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Apr 11, 2018 Accepting new patients
Cep America - Illinois, LLP CurrentSince Jan 1, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 19, 2025 Accepting new patients
Vituity-Iowa PLLC CurrentSince Oct 20, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Elmhurst Memorial Hospital CurrentSince May 21, 2019 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jan 1, 2016 Accepting new patients
Vituity-Iowa PLLC CurrentSince Oct 20, 2024 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Edward Hospital CurrentSince Apr 11, 2018 Accepting new patients
Edward Health Ventures CurrentSince Jul 1, 2020 Accepting new patients
Edward Health Ventures CurrentSince Jul 1, 2020 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

130 N Weber Rd
Ste 108
Bolingbrook, IL 60440
Phone (630) 646-5305

9532 Eagle Way
Chicago, IL 60678

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1804 N Naper Blvd
Ste 103
Naperville, IL 60563
Phone (630) 646-6200

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: sbrankin245223@direct.myadvocateaurora.org
  • Direct secure messaging: sweidacher125163@direct.edward.org

Organizations & group practices 12

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.

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1154792406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040",
            "fax_number": "847-733-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "630-408-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E Brush Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601265658",
            "country_code": "US",
            "telephone_number": "331-221-0200",
            "fax_number": "331-221-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANKIN",
        "first_name": "SHARA ANN",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003144",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003144",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A181345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARA ANN",
            "last_name": "WEIDACHER",
            "middle_name": "MARISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.