Individual provider Active NPI

Sanja Stojakovic, APRN

  • Gerontology Nurse Practitioner
  • Dekalb, IL
National Provider Identifier
1609751882
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.032459 Issued in IL
Practice address
3298 Resource Pkwy
Dekalb, IL 60115-5331
Phone
(815) 756-5526
NPI assigned
Aug 7, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.032459 IL Primary

Addresses

Primary practice location

3298 Resource Pkwy
Dekalb, IL 60115-5331

Mailing address

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone (248) 669-6160

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
I20250909003011 IL Practitioner - Nurse Practitioner 4688176472 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

3298 Resource Pkwy
Dekalb, IL 60115-5331
Phone (248) 660-1220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.032459ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Dec 16, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jan 1, 2026 Accepting new patients
Theoria Medical CurrentSince Jun 27, 2025 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Jan 5, 2026 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

3298 Resource Pkwy
DeKalb, IL 60115
Phone (815) 748-7076

201 S 10th St
Mascoutah, IL 62258
Phone (618) 566-8000

6301 Lincoln Hwy
Matteson, IL 60443
Phone (708) 401-4400

2020 Calamos Ct
Ste 250
Naperville, IL 60563

2 Annable Ct
Sauget, IL 62206
Phone (314) 842-1900

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1609751882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "248-669-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 RESOURCE PKWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155331",
            "telephone_number": "815-756-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJAKOVIC",
        "first_name": "SANJA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.032459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.