Individual provider Active NPI

Lauren Elizabeth Cecchetti, N.P.

  • Nurse Practitioner
  • Dixon, IL
National Provider Identifier
1629553888
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209017963 Issued in IL
Practice address
1321 N Galena Ave
Dixon, IL 61021-1009
Phone
(815) 625-4790
NPI assigned
Oct 3, 2018
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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 209017963 IL Primary

Addresses

Primary practice location

1321 N Galena Ave
Dixon, IL 61021-1009

Mailing address

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 632-5285

Other practice location 1

15 W 3rd St
Sterling, IL 61081-3510
Phone (815) 564-1999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.cecchetti.p1@direct.cghmc.nextgenshare.com

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
I20181030000591 IL Practitioner - Nurse Practitioner 0345593976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Practice addresses (Care Compare)

1321 N Galena Ave
Dixon, IL 61021-1009
Phone (815) 284-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209017963ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Oct 3, 2018 Accepting new patients
CGH Medical Center Current Accepting new patients
CGH Medical Center CurrentSince Oct 3, 2018 Accepting new patients

Locations

1321 N Galena Ave
Dixon, IL 61021
Phone (815) 284-1600

15 W 3rd St
Sterling, IL 61081
Phone (815) 564-1999

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: lcecchetti20531@cghmc.direct-ci.com

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.

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1629553888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MILLER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811252",
            "telephone_number": "815-632-5285",
            "fax_number": "815-632-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211009",
            "telephone_number": "815-625-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610813510",
            "country_code": "US",
            "telephone_number": "815-564-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CECCHETTI",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.cecchetti.p1@direct.cghmc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "15 W 3rd St",
            "city": "Sterling",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610813510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

Verify at the official NPI Registry.