Individual provider Active NPI

Susan C Pastor, AGPCNP-BC

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1174075204
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209014604 Issued in IL
Practice address
230 W Monroe St
Suite 2540
Chicago, IL 60606-4703
Phone
(888) 660-4425
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209014604 IL Primary

Addresses

Primary practice location

230 W Monroe St
Suite 2540
Chicago, IL 60606-4703

Mailing address

230 W Monroe St
Suite 2540
Chicago, IL 60606-4703
Phone (888) 660-4425

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
I20161207002756 IL Practitioner - Nurse Practitioner 8820378961 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curana Health of Illinois PCGroup PAC ID 1456724434, 35 clinicians

Practice addresses (Care Compare)

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (337) 991-9276

Hospital & facility affiliations

  • Mederi Caretenders of Fairview Heights Home health agency, Fairview Heights, IL, CCN 147289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209014604ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Nurse Practitioner CurrentSince Nov 28, 2016 Accepting new patients
Curana Health of Illinois PC CurrentSince Jan 3, 2024 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
CH MSSP Services TN PLLC Nurse Practitioner CurrentSince Jan 3, 2024 Accepting new patients

Locations

2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

111 W Jackson Blvd
Ste 1700
Chicago, IL 60604
Phone (708) 223-8405

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

6840 W Touhy Ave
Niles, IL 60714
Phone (317) 873-7450

211 N Market St
Sparta, IL 62286
Phone (618) 391-0242

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1174075204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST",
            "address_2": "SUITE 2540",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064703",
            "telephone_number": "888-660-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST",
            "address_2": "SUITE 2540",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064703",
            "telephone_number": "888-660-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.