Active NPI
Scott Frederick Zingsheim, APN
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1306544820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209026549
- Practice address
- 1044 N Francisco Ave
Chicago, IL 60622-2743 - Phone
- (773) 292-8200
- Fax
- (773) 278-3899
- NPI assigned
- Feb 23, 2023
- Last updated
- Feb 23, 2023
- Sex
- Male
- 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 | 209026549 | IL | Primary |
Addresses
Primary practice location
1044 N Francisco Ave
Chicago, IL 60622-2743
Mailing address
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209026549 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Home Network | Current | Accepting new patients |
Locations
3530 W Peterson Ave
Ste 201
Chicago, IL 60659
Phone (847) 261-2541
Interoperability endpoints
- scott.zingsheim.1@30821.direct.athenahealth.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, 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": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1306544820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 N FRANCISCO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222743",
"telephone_number": "773-292-8200",
"fax_number": "773-278-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N FRANCISCO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222743",
"telephone_number": "773-292-8200",
"fax_number": "773-278-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINGSHEIM",
"first_name": "SCOTT",
"middle_name": "FREDERICK",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-23",
"last_updated": "2023-02-23",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209026549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.