Active NPI
Ashli Schoenholz, FNP-BC
- Nurse Practitioner
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.012313
- Practice address
- 1740 Mediterranean Dr
Unit 102
Sycamore, IL 60178-3191 - Phone
- (815) 981-4990
- Fax
- (815) 517-0064
- NPI assigned
- Feb 10, 2015
- Last updated
- Jun 23, 2022
- Sex
- Female
- 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 | 209.012313 | IL | Primary |
Addresses
Primary practice location
1740 Mediterranean Dr
Unit 102
Sycamore, IL 60178-3191
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 Mediterranean Dr
Suite 102
Sycamore, IL 60178-3191
Phone (815) 981-4990
2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone (815) 741-4343
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.012313 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Past | Accepting new patients |
Locations
2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900
1740 Mediterranean Dr
Ste 102
Sycamore, IL 60178
Phone (815) 981-4990
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Interoperability endpoints
- ashli.schoenholz@forefrontdermatology.emadirect.md
Organizations & group practices 4
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.
-
dba Premier Dermatology
- Dermatology Physician
- Crest Hill, IL
- NPI 1053783308
-
dba Premier Dermatology
- Dermatology Physician
- New Lenox, IL
- NPI 1154793412
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1467843623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 MEDITERRANEAN DR",
"address_2": "UNIT 102",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783191",
"telephone_number": "815-981-4990",
"fax_number": "815-517-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENHOLZ",
"first_name": "ASHLI",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.012313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.