NPIMap

Individual provider Active NPI

Sara R Brubacher, APN

  • Family Nurse Practitioner
  • Cary, IL
National Provider Identifier
1497174676
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.011294 Issued in IL
Practice address
1005 Alexander CT # D
Cary, IL 60013-1891
Phone
(847) 538-6636
NPI assigned
Apr 15, 2014
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 209.011294 IL Primary

Addresses

Primary practice location

1005 Alexander CT # D
Cary, IL 60013-1891

Mailing address

344 High Rd
Cary, IL 60013-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141125001271 IL Practitioner - Nurse Practitioner 8022330257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 Alexander CT
D
Cary, IL 60013-1891
Phone (847) 538-6636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.011294ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Senior Care PLLC Family CurrentSince Jun 1, 2022 Accepting new patients
Injurycare Limited PastSince Jul 7, 2024 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1000 Hart Rd
Ste 300
Barrington, IL 60010

1005 Alexander Ct
#D
Cary, IL 60013
Phone (312) 885-6950

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1497174676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HIGH RD",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ALEXANDER CT # D",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131891",
            "telephone_number": "847-538-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBACHER",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.