Individual provider Active NPI

Ashli Stanfa, FNP-BC

  • Family Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1265256408
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.031026 Issued in IL
Practice address
926 Greenleaf St
Sycamore, IL 60178-2339
Phone
(815) 761-8296
NPI assigned
Nov 13, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 209.031026 IL Primary

Addresses

Primary practice location

926 Greenleaf St
Sycamore, IL 60178-2339

Mailing address

926 Greenleaf St
Sycamore, IL 60178-2339
Phone (815) 761-8296

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
I20250702003009 IL Practitioner - Nurse Practitioner 8820501778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yusuf Salah LLCGroup PAC ID 3577895176, 45 clinicians

Practice addresses (Care Compare)

7300 W College Dr
Suite 101
Palos Heights, IL 60463-1181
Phone (708) 448-8470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.031026ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yusuf Salah LLC Family CurrentSince May 25, 2025 Accepting new patients
Palos Psychiatric & Recovery Inst LTD Past Accepting new patients

Locations

19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400

6321 Dempster St
Morton Grove, IL 60053

7300 W College Dr
Ste 101
Palos Heights, IL 60463
Phone (708) 448-8470

7300 W College Dr
Ste 102
Palos Heights, IL 60463
Phone (312) 659-9698

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1265256408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREENLEAF ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782339",
            "telephone_number": "815-761-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 GREENLEAF ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782339",
            "telephone_number": "815-761-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFA",
        "first_name": "ASHLI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.031026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.