Individual provider Active NPI

Rebecca Elizabeth Werth, FNP-BC

  • Family Nurse Practitioner
  • Sugar Grove, IL
National Provider Identifier
1518202076
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010083 Issued in IL
Practice address
43W526 US Highway 30
Sugar Grove, IL 60554-9511
Phone
(630) 466-0800
Fax
(630) 466-1336
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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 209010083 IL Primary

Addresses

Primary practice location

43W526 US Highway 30
Sugar Grove, IL 60554-9511

Mailing address

1132 Hinswood Dr
206
Darien, IL 60561-6440
Phone (630) 417-1942

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
I20130531000437 IL Practitioner - Nurse Practitioner 6002054111 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Emergency Medicine Specialists LLCGroup PAC ID 6103071808, 43 clinicians

Practice addresses (Care Compare)

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Apr 25, 2016 Accepting new patients
Aurora Emergency Physicians, LLC CurrentSince Oct 1, 2017 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Jan 14, 2014 Accepting new patients
Health Service Systems, Inc CurrentSince Jan 1, 2016 Accepting new patients
Aurora Emergency Physicians, LLC CurrentSince Oct 1, 2017 Accepting new patients
Health Service Systems, Inc CurrentSince Jan 1, 2016 Accepting new patients
Aerocare Medical Transport System Past Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

75 Remittance Dr
Dept 1620
Chicago, IL 60675

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1518202076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 HINSWOOD DR",
            "address_2": "206",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605616440",
            "telephone_number": "630-417-1942",
            "fax_number": "630-395-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43W526 US HIGHWAY 30",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549511",
            "telephone_number": "630-466-0800",
            "fax_number": "630-466-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTH",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

Verify at the official NPI Registry.