Individual provider Active NPI

Elizabeth Webster, FNP

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1568078608
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021952 Issued in IL
Practice address
1750 N Randall Rd Ste 110
Elgin, IL 60123-7900
Phone
(224) 629-4525
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 209021952 IL Primary

Addresses

Primary practice location

1750 N Randall Rd Ste 110
Elgin, IL 60123-7900

Mailing address

1750 N Randall Rd Ste 110
Elgin, IL 60123-7900
Phone (224) 629-4525

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
I20210723000129 IL Practitioner - Nurse Practitioner 1254734601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sycamore Medical Associates LLCGroup PAC ID 3274767686, 14 clinicians

Practice addresses (Care Compare)

2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3185
Phone (815) 748-3040

Hospital & facility affiliations

  • Suncrest Hospice Illinois LLC Hospice, Northbrook, IL, CCN 141696
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209021952ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sycamore Medical Associates LLC CurrentSince May 1, 2021 Accepting new patients

Locations

1750 N Randall Rd
Ste 110
Elgin, IL 60123
Phone (224) 629-4525

2560 Hauser Ross Dr
Ste 450
Sycamore, IL 60178
Phone (815) 748-0315

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABCDA

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.

Hospital & facility affiliations 6

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1568078608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD STE 110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "224-629-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD STE 110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "224-629-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.