Individual provider Active NPI

Sherry L Kobitter, NP-BC

  • Nurse Practitioner
  • Vernon Hills, IL
National Provider Identifier
1619390655
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.010948 Issued in IL
Practice address
525 Sycamore St
Vernon Hills, IL 60061-1082
Phone
(847) 845-6000
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.010948 IL Primary

Addresses

Primary practice location

525 Sycamore St
Vernon Hills, IL 60061-1082

Mailing address

1451 N Milwaukee Ave
Libertyville, IL 60048-1310
Phone (847) 845-6000

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
I20140507002275 IL Practitioner - Nurse Practitioner 6406089978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Inpatient Consultants LLCGroup PAC ID 7719989276, 7 clinicians

Practice addresses (Care Compare)

150 Jamestown LN
Lincolnshire, IL 60069-2119
Phone (224) 543-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
43.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.010948ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Consultants LLC CurrentSince Jan 6, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skobitter237615@direct.myadvocateaurora.org

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 4

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": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1619390655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 N MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481310",
            "telephone_number": "847-845-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SYCAMORE ST",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611082",
            "telephone_number": "847-845-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBITTER",
        "first_name": "SHERRY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.010948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.