Individual provider Active NPI

Sharon Marie Lundberg, APRN

  • Family Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1265064927
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019734 Issued in IL
Practice address
303 E Army Trail Rd Ste 403
Bloomingdale, IL 60108-2155
Phone
(630) 894-7083
Fax
(630) 894-9472
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 209.019734 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 403
Bloomingdale, IL 60108-2155

Mailing address

970 Willow Creek Rd
West Chicago, IL 60185-5046
Phone (630) 293-3928

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
I20200310000213 IL Practitioner - Nurse Practitioner 0749618551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Associates of Dupage, P.C.Group PAC ID 0840332565, 4 clinicians

Practice addresses (Care Compare)

1020 E Ogden Ave
Suite 205
Naperville, IL 60563-8610
Phone (630) 852-4050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.019734ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Associates of Dupage, P.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

3825 Highland Ave
Ste 204
Downers Grove, IL 60515
Phone (630) 987-4797

1020 E Ogden Ave
Ste 205
Naperville, IL 60563
Phone (630) 852-4050

Interoperability endpoints

  • Direct secure messaging: lundberg.sharon.003.0090427@avh.meditab.direct-ci.com
  • Direct secure messaging: lundberg.sharon.005.0090427@avh.meditab.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1265064927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 WILLOW CREEK RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855046",
            "telephone_number": "630-293-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 403",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082155",
            "telephone_number": "630-894-7083",
            "fax_number": "630-894-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.