Individual provider Active NPI

Sara E. Bell, APN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1609611649
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.029963 Issued in IL
Practice address
24600 W 127TH St Ste B340
Plainfield, IL 60585-9517
Phone
(815) 731-9100
Fax
(815) 731-9110
NPI assigned
Jul 1, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.029963 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.029963 IL Primary

Addresses

Primary practice location

24600 W 127TH St Ste B340
Plainfield, IL 60585-9517

Mailing address

24600 W 127TH St Ste B340
Plainfield, IL 60585-9517
Phone (815) 731-9100

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
I20240814001760 IL Practitioner - Nurse Practitioner 2062950660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

24600 W 127TH St
Plainfield, IL 60585-9507

2650 Ridge Ave
Evanston, IL 60201-1700

486 W Boughton Rd
Suite B
Bolingbrook, IL 60440-2399
Phone (630) 566-2090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.029963ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jul 7, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Feb 6, 2026 Accepting new patients

Locations

486 W Boughton Rd
Ste B
Bolingbrook, IL 60440
Phone (630) 566-2090

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

98 Miller Dr
Ste 103
North Aurora, IL 60542
Phone (630) 506-6615

24600 W 127th St
Bldg B
Plainfield, IL 60585
Phone (815) 267-8825

24600 W 127th St
Ste B340
Plainfield, IL 60585
Phone (630) 445-1101

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • Direct secure messaging: sbell236535@direct.edward.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1609611649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST STE B340",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859517",
            "telephone_number": "815-731-9100",
            "fax_number": "815-731-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST STE B340",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859517",
            "telephone_number": "815-731-9100",
            "fax_number": "815-731-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "SARA",
        "middle_name": "E.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.029963",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.029963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.