Active NPI
Edwin W. Schaefer, N.P.
- Nurse Practitioner
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 300 Randall Rd
Emergency Dept
Geneva, IL 60134-4200 - Phone
- (630) 208-4009
- Fax
- (630) 208-0942
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IL | Primary |
Addresses
Primary practice location
300 Randall Rd
Emergency Dept
Geneva, IL 60134-4200
Mailing address
PO Box 9030
Wheeling, IL 60090-9030
Phone (847) 495-1617
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-4009
Hospital & facility affiliations
- Northwestern Medicine Delnor Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Fastrac Medical, P.C. | Past | Accepting new patients | |
| Tri County Anesthesia S.C. | Past | Accepting new patients | |
| Pic Wisconsin SC | Past | Accepting new patients |
Locations
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
2490 Bushwood Dr
Elgin, IL 60124
Phone (224) 293-5200
750 Essington Rd
Joliet, IL 60435
Phone (815) 729-2160
3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000
9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Geneva, IL
- NPI 1841395092
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
-
- Anesthesiology Physician
- Hopedale, IL
- NPI 1568548592
-
- Urgent Care Clinic/Center
- Brookfield, WI
- NPI 1124678354
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679651228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9030",
"city": "WHEELING",
"state": "IL",
"postal_code": "600909030",
"telephone_number": "847-495-1617",
"fax_number": "847-537-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RANDALL RD",
"address_2": "EMERGENCY DEPT",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344200",
"telephone_number": "630-208-4009",
"fax_number": "630-208-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "EDWIN",
"middle_name": "W.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.