Individual provider Active NPI

Michelle Sparrow, FNP-C

  • Family Nurse Practitioner
  • Crystal Lake, IL
National Provider Identifier
1184025140
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011560 Issued in IL
Practice address
390 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6202
Phone
(630) 573-5000
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011560 IL Primary

Addresses

Primary practice location

390 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6202

Mailing address

1530 N Randall Rd
Elgin, IL 60123-7877
Phone (847) 697-7598

Other practice location 1

1530 N Randall Rd
Elgin, IL 60123-7877
Phone (847) 697-7598

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

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
I20230821002786 IL Practitioner - Nurse Practitioner 6709189764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10370 Haligus Rd
Suite 103
Huntley, IL 60142-9582
Phone (847) 531-5911

390 E Congress Pkwy
Suite C
Crystal Lake, IL 60014-6202
Phone (815) 301-1001

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

901 Biesterfield Rd
Suite 310
Elk Grove Village, IL 60007-7324
Phone (847) 952-9332

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209011560ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Jul 1, 2023 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Jul 1, 2023 Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients

Locations

102 Fox Glen Ct
Ste B
Barrington, IL 60010
Phone (847) 277-1309

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

390 E Congress Pkwy
Ste C
Crystal Lake, IL 60014
Phone (815) 301-1001

3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595

1600 N Randall Rd
Ste 135
Elgin, IL 60123
Phone (847) 531-5911

1530 N Randall Rd
Elgin, IL 60123
Phone (224) 760-7322

1530 N Randall Rd
Ste 200
Elgin, IL 60123
Phone (847) 697-6464

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

719 Ridgeview Dr
#B
McHenry, IL 60050
Phone (815) 697-6464

120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

Interoperability endpoints

  • Direct secure messaging: msparrow53469@direct.acumenmd.com

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 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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1184025140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237877",
            "telephone_number": "847-697-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E CONGRESS PKWY STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146202",
            "telephone_number": "630-573-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 N Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601237877",
            "country_code": "US",
            "telephone_number": "847-697-7598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.