Melissa Sporar, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014540 Issued in IL

Practice address

612 Court St
Ottawa, IL 61350-2915

Phone

(800) 230-7526

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Will County Community Health CenterGroup PAC ID 5395633317, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: melissa.sporar.p25@direct.willcounty.nextgenshare.com

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.

• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
  • NPI 1902811714
  Medicare reassignment Care Compare group NPD
• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Monee, IL
  • NPI 1053870204
  NPD
• Planned Parenthood of Illinois

  • Clinic/Center
  • Chicago, IL
  • NPI 1790754745
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1457711301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 COURT ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 COURT ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502915",
            "telephone_number": "800-230-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORAR",
        "first_name": "MELISSA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041335921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M'Kenzee B Smith, APN
• Solid Rock Counseling
• Solid Source Healthcare Resources LLC
• Solid Source Healthcare Resources LLC Home Services
• Southwest Dermatology
• Spry Physical Therapy and Geriatric Wellness, PLLC
• Sshe RFMF Inc
• St. Mary'S Hospital
• Lisa Stanek, APRN
• Starved Rock Regional Center for Therapy & Child Development

• Family Nurse Practitioner in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.

Verify at the official NPI Registry.