Stacey Sebastian Arackal, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.024068 Issued in IL

Practice address

5440 W Belmont Ave
Chicago, IL 60641-4126

Phone

(773) 286-8111

NPI assigned

Mar 8, 2022

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stat Cardiologist IncGroup PAC ID 1658648050, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stat Cardiologist Inc

  • Cardiovascular Disease Physician
  • Schaumburg, IL
  • NPI 1528596350
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1699422857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 GRACELAND AVE APT 305",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600167812",
            "telephone_number": "847-287-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414126",
            "telephone_number": "773-286-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARACKAL",
        "first_name": "STACEY",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arab American Community Center Home Service Agency
• Prudvi Raju Arabandi, MD
• Juliana Denise Arabia, DDS
• Ana Zulema Araci
• Isabella Arackal
• Cean Arada, OTR/L
• Muderi Anju Aradi, DPM
• Hossein Araghi, D.M.D.
• Anahi Aragon
• Kristen Aragon

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.

Verify at the official NPI Registry.