Individual provider Active NPI

Linda Susan Sroka, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1386119865
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6231 Issued in MN
Practice address
9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172
Phone
(480) 862-1883
Fax
(480) 718-7643
NPI assigned
Oct 10, 2018
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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 6231 MN Primary

Addresses

Primary practice location

9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172

Mailing address

612 Cherrywood Dr
Wheeling, IL 60090-5559
Phone (847) 322-6766

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
I20181204001627 IL Practitioner - Nurse Practitioner 4981948882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6231MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince May 1, 2021 Accepting new patients
Elite Cardiology Solutions LLC CurrentSince Feb 6, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

100 Illinois St
Ste 200
St Charles, IL 60174
Phone (630) 513-5576

2550 Hauser Ross Dr
Ste 325
Sycamore, IL 60178
Phone (815) 758-7700

2550 Hauser Ross Dr
Ste 350
Sycamore, IL 60178
Phone (815) 754-5010

100 S 5th St
Fl 19
Minneapolis, MN 55402
Phone (417) 528-3995

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1386119865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CHERRYWOOD DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905559",
            "telephone_number": "847-322-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585172",
            "telephone_number": "480-862-1883",
            "fax_number": "480-718-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROKA",
        "first_name": "LINDA",
        "middle_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.