Individual provider Active NPI

Stephanie Weddle

  • Family Nurse Practitioner
  • Westmont, IL
National Provider Identifier
1437930435
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027899 Issued in IL
Practice address
29 N Cass Ave
Westmont, IL 60559-1669
Phone
(630) 324-6825
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 209027899 IL Primary

Addresses

Primary practice location

29 N Cass Ave
Westmont, IL 60559-1669

Mailing address

29 N Cass Ave
Westmont, IL 60559-1669

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
I20231107002509 IL Practitioner - Nurse Practitioner 2062869498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amer I Alhussaini MD SCGroup PAC ID 9638484553, 3 clinicians

Practice addresses (Care Compare)

29 N Cass Ave
Suite a
Westmont, IL 60559-1669
Phone (630) 325-6825

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amer I Alhussaini MD SC CurrentSince Oct 3, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

4 E Ogden Ave
Westmont, IL 60559
Phone (331) 221-2810

29 N Cass Ave
Ste A
Westmont, IL 60559
Phone (630) 324-6825

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1437930435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591669",
            "telephone_number": "630-324-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDLE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.