Active NPI
Heidi J Beckstrom, APN
- Nurse Practitioner
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209007813
- Practice address
- 1850 Gateway Dr Ste 100
Sycamore, IL 60178-3192 - Phone
- (815) 217-3252
- Fax
- (815) 756-4941
- NPI assigned
- Oct 29, 2009
- Last updated
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209007813 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209007813 | IL | |
| Emergency Clinical Nurse Specialist | 364SE0003X | 209007813 | IL |
Addresses
Primary practice location
1850 Gateway Dr Ste 100
Sycamore, IL 60178-3192
Mailing address
5777 Dept
Carol Stream, IL 60122-5777
Phone (312) 695-9797
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Gateway Dr
Sycamore, IL 60178-3192
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209007813 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urgent Care LTD | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Sinai Medical Centers LTD | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
5907 W 63rd St
Chicago, IL 60638
Phone (708) 966-4820
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
10 Orland Square Dr
Orland Park, IL 60462
Phone (708) 448-8913
10 Orland Square Dr
Ste A
Orland Park, IL 60462
1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Urgent Care Clinic/Center
- Orland Park, IL
- NPI 1184994790
-
- Family Medicine Physician
- Chicago, IL
- NPI 1346418720
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1740516541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 DEPT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601225777",
"telephone_number": "312-695-9797",
"fax_number": "630-933-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 GATEWAY DR STE 100",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783192",
"telephone_number": "815-217-3252",
"fax_number": "815-756-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKSTROM",
"first_name": "HEIDI",
"middle_name": "J",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209007813",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209007813",
"primary": false
},
{
"code": "364SE0003X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Emergency",
"state": "IL",
"license": "209007813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.