Individual provider Active NPI

Sherrilynn Smith, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Cicero, IL
National Provider Identifier
1326761438
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026521 Issued in IL
Practice address
3314 S Cicero Ave
Cicero, IL 60804-4531
Phone
(708) 391-3030
Fax
(708) 656-4204
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 99999999 IL
Family Nurse Practitioner 363LF0000X 209026521 IL Primary

Addresses

Primary practice location

3314 S Cicero Ave
Cicero, IL 60804-4531

Mailing address

6216 W 63Rd PL
Chicago, IL 60638-5012
Phone (847) 309-2233

Other practice location 1

40 75th St
Willowbrook, IL 60527-2325
Phone (512) 734-9003

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
I20230321000400 IL Practitioner - Nurse Practitioner 1951773811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
99999999ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Nov 4, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 6, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 6, 2022 Accepting new patients
The Methodist Hospitals, Inc PastSince Nov 4, 2022 Accepting new patients

Locations

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

3314 S Cicero Ave
Cicero, IL 60804
Phone (708) 391-3030

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

3939 Franklin St
Michigan City, IN 46360
Phone (219) 878-5850

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 5

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1326761438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 W 63RD PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385012",
            "telephone_number": "847-309-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044531",
            "telephone_number": "708-391-3030",
            "fax_number": "708-656-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 75th St",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272325",
            "country_code": "US",
            "telephone_number": "512-734-9003",
            "fax_number": "708-575-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERRILYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "99999999",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

Verify at the official NPI Registry.