Individual provider Active NPI

Gloria A Sa, APN-CNP

  • Nurse Practitioner
  • Highland Park, IL
National Provider Identifier
1215641352
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209026653 Issued in IL
Practice address
757 Park Ave W Ste 2850
Highland Park, IL 60035-2558
Phone
(847) 657-1900
Fax
(847) 733-5041
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.026653 IL
Nurse Practitioner 363L00000X 209026653 IL Primary

Addresses

Primary practice location

757 Park Ave W Ste 2850
Highland Park, IL 60035-2558

Mailing address

757 Park Ave W Ste 2850
Highland Park, IL 60035-2558
Phone (847) 657-1900

Other practice location 1

675 Sussex Cir
Vernon Hills, IL 60061-2941
Phone (415) 215-9075

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
I20230405002491 IL Practitioner - Nurse Practitioner 7315312378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1000 Central St
Evanston, IL 60201-1779

1000 Central St
Evanston, IL 60201-1780

2150 Pfingsten Rd
Suite 3000
Glenview, IL 60026-1314
Phone (647) 633-8504

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone (847) 941-7600

2650 Ridge Ave
Evanston, IL 60201-1700

757 Park Ave W
Highland Park, IL 60035-2558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.026653ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jun 23, 2024 Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 23, 2024 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

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

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

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

757 Park Ave W
Ste 2850
Highland Park, IL 60035
Phone (847) 570-2512

757 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3800

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

2000 McDonald Rd
Ste 260
South Elgin, IL 60177

Organizations & group practices 6

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 2

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1215641352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 PARK AVE W STE 2850",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352558",
            "telephone_number": "847-657-1900",
            "fax_number": "847-733-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 PARK AVE W STE 2850",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352558",
            "telephone_number": "847-657-1900",
            "fax_number": "847-733-5041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Sussex Cir",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600612941",
            "country_code": "US",
            "telephone_number": "415-215-9075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SA",
        "first_name": "GLORIA",
        "middle_name": "A",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026653",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209026653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.