Individual provider Active NPI

Christina Mitsdarffer

  • Family Nurse Practitioner
  • Westmont, IL
National Provider Identifier
1639530298
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013783 Issued in IL
Practice address
700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Phone
(630) 528-3215
NPI assigned
Mar 10, 2016
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 209013783 IL Primary

Addresses

Primary practice location

700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569

Mailing address

700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Phone (630) 528-3215

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

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
I20160502001437 IL Practitioner - Nurse Practitioner 8123327822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

Practice addresses (Care Compare)

720 BS Crescent St
Gilman, IL 60938-1518
Phone (815) 265-4255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209013783ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Oct 25, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 25, 2025 Accepting new patients
Riverside Health System CurrentSince Apr 20, 2016 Accepting new patients
Riverside Health System Current Accepting new patients
University of Chicago CurrentSince Oct 25, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255

720 S Crescent St
#B
Gilman, IL 60938
Phone (815) 265-4255

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

350 N Wall St
Ste B302
Kankakee, IL 60901
Phone (815) 329-6500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: cmitsdarffer352991@uchospital.direct-ci.com

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.

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1639530298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-528-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-528-3215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S MARYLAND AVE",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITSDARFFER",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.