Active NPI
Deborah A Hassman, N.P.
- Nurse Practitioner
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 300 Randall Rd
Emergency Dept
Geneva, IL 60134-4200 - Phone
- (630) 208-4009
- Fax
- (630) 208-0942
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IL | Primary |
Addresses
Primary practice location
300 Randall Rd
Emergency Dept
Geneva, IL 60134-4200
Mailing address
300 Randall Rd
Emergency Dept
Geneva, IL 60134-4200
Phone (630) 208-4009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0451530938 | Other | IL | BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 W Hwy 22
Barrington, IL 60010-1919
Phone (877) 346-2211
525 E Congress Pkwy
Suite 100
Crystal Lake, IL 60014-6271
Phone (626) 327-6795
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209004844 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Lake Immediate Care Physicians LTD. | Current | Accepting new patients | |
| Tri-County Emergency Physicians, LTD | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Locations
525 E Congress Pkwy
Ste 100
Crystal Lake, IL 60014
Phone (626) 327-6795
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Crystal Lake, IL
- NPI 1538517198
-
- Emergency Medicine Physician
- Barrington, IL
- NPI 1700810470
-
- Emergency Medicine Physician
- Geneva, IL
- NPI 1841395092
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1275754061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 RANDALL RD",
"address_2": "EMERGENCY DEPT",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344200",
"telephone_number": "630-208-4009",
"fax_number": "630-208-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RANDALL RD",
"address_2": "EMERGENCY DEPT",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344200",
"telephone_number": "630-208-4009",
"fax_number": "630-208-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSMAN",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0451530938",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.