Individual provider Active NPI

Sharon Pytel, NP-C

  • Nurse Practitioner
  • Geneva, IL
National Provider Identifier
1740451236
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209006950 Issued in IL
Practice address
351 Delnor Dr
Geneva, IL 60134-4222
Phone
(630) 938-9600
Fax
(630) 933-7839
NPI assigned
Mar 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209006950 IL Primary
Adult Health Nurse Practitioner 363LA2200X 209.006950 IL

Addresses

Primary practice location

351 Delnor Dr
Geneva, IL 60134-4222

Mailing address

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-4460

Other identifiers 3

IdentifierTypeStateIssuer
260147OtherILMEDICARE PTAN (GROUP)
04515143OtherILBCBS#
F400183971OtherILMEDICARE PTAN (INDIVIDUAL)

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
I20080718000541 IL Practitioner - Nurse Practitioner 7315010675 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209006950ILMDNurse Practitioner
209.006950ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delnor Community Hospital CurrentSince Jul 22, 2019 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 15, 2014 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 15, 2014 Accepting new patients
Radial Health SC Past Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

Dept 4698
Carol Stream, IL 60122

Dept 5777
Carol Stream, IL 60122

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

304 Randall Rd
Geneva, IL 60134
Phone (630) 232-0610

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

351 Delnor Dr
Ste 312
Geneva, IL 60134
Phone (630) 208-4460

351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1740451236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344200",
            "telephone_number": "630-208-4460",
            "fax_number": "630-208-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344222",
            "telephone_number": "630-938-9600",
            "fax_number": "630-933-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYTEL",
        "first_name": "SHARON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209006950",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.006950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "260147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "04515143",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "F400183971",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.