Individual provider Active NPI

Clare R Arentsen, FNP-BC

  • Nurse Practitioner
  • Breese, IL
National Provider Identifier
1225645690
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209022801 Issued in IL
Practice address
9401 Holy Cross LN Ste 112
Breese, IL 62230-3510
Phone
(618) 526-7271
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 209022801 IL Primary

Addresses

Primary practice location

9401 Holy Cross LN Ste 112
Breese, IL 62230-3510

Mailing address

9401 Holy Cross LN Ste 112
Breese, IL 62230-3510
Phone (618) 526-7271

Other names 1

  • Clare R Chiarolanza Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cchiarolanza351205@ewd.direct.hshs.org Direct

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde 33 clinicians

Practice addresses (Care Compare)

9401 Holy Cross LN
Suite 112
Breese, IL 62230-3510
Phone (618) 526-7271

Hospital & facility affiliations

  • Mederi Caretenders of Fairview Heights Home health agency, Fairview Heights, IL, CCN 147289
  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145

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
I20210630001961 IL Practitioner - Nurse Practitioner 7416358262 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209022801ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde Current Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Jul 25, 2022 Accepting new patients
SJL Health Systems Inc CurrentSince Jul 22, 2022 Accepting new patients
Granite City Urgent Care Walk-in Clinic CurrentSince Jun 1, 2021 Accepting new patients
HSHS Medical Group Inc CurrentSince Jul 22, 2022 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
Waterloo Urgent Care Walk in Clinic Company CurrentSince Jun 1, 2021 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Jul 25, 2022 Accepting new patients
Belleville Urgent Care Walk-in Clinic CurrentSince Jun 1, 2021 Accepting new patients
Alton Urgent Care Walk in Clinic Company CurrentSince Jun 1, 2021 Accepting new patients

Locations

1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320

2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053

9401 Holy Cross Ln
Breese, IL 62230
Phone (618) 526-5948

9401 Holy Cross Ln
Ste 112
Breese, IL 62230
Phone (618) 206-2082

9401 Holy Cross Ln
#112
Breese, IL 62230
Phone (618) 526-7271

14509 State Route 127
Carlyle, IL 62231
Phone (618) 594-3613

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1225645690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 HOLY CROSS LN STE 112",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 HOLY CROSS LN STE 112",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENTSEN",
        "first_name": "CLARE",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209022801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchiarolanza351205@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "9401 Holy Cross Ln Ste 112",
            "city": "Breese",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622303510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CLARE",
            "last_name": "CHIAROLANZA",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Breese, IL

Sources for this page

Verify at the official NPI Registry.