Individual provider Active NPI

Anastasia Ruschke, APRN

  • Family Nurse Practitioner
  • Crestwood, IL
National Provider Identifier
1508578972
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026563 Issued in IL
Practice address
13448 Cicero Ave
Crestwood, IL 60418-1430
Phone
(708) 682-3384
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 209.026563 IL Primary

Addresses

Primary practice location

13448 Cicero Ave
Crestwood, IL 60418-1430

Mailing address

2241 Edgartown LN
Hoffman Estates, IL 60192-4624
Phone (630) 788-9159

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
I20230207001538 IL Practitioner - Nurse Practitioner 9335511070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.026563ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 23, 2023 Accepting new patients

Locations

825 S State St
Chicago, IL 60605
Phone (312) 566-9510

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1009 Fairway Dr
Freeport, IL 61032
Phone (815) 986-4200

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

405 W Golf Rd
Schaumburg, IL 60195
Phone (224) 215-0011

Organizations & group practices 1

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1508578972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 EDGARTOWN LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924624",
            "telephone_number": "630-788-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13448 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181430",
            "telephone_number": "708-682-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCHKE",
        "first_name": "ANASTASIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

Verify at the official NPI Registry.