Individual provider Active NPI

Stephanie Wascher, APRN

  • Nurse Practitioner
  • River Forest, IL
National Provider Identifier
1760149900
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.024370 Issued in IL
Practice address
7343 Lake St
River Forest, IL 60305-2206
Phone
(708) 231-8908
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 209.024370 IL Primary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 209.024370 IL

Addresses

Primary practice location

7343 Lake St
River Forest, IL 60305-2206

Mailing address

7343 Lake St
River Forest, IL 60305-2206
Phone (708) 231-8908

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
I20220314002146 IL Practitioner - Nurse Practitioner 0941695761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024370ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc Single Specialty CurrentSince Jun 15, 2022 Accepting new patients
Revive & Renew CurrentSince Aug 10, 2025 Accepting new patients
Progressive Surgical Associates SC Single Specialty CurrentSince Dec 2, 2021 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 15, 2022 Accepting new patients

Locations

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

Dept 5932
Carol Stream, IL 60122

1890 Silver Cross Blvd
Ste 410
New Lenox, IL 60451
Phone (815) 717-8730

7343 Lake St
River Forest, IL 60305
Phone (708) 231-8908

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDHAA

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1760149900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052206",
            "telephone_number": "708-231-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7343 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052206",
            "telephone_number": "708-231-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASCHER",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024370",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "209.024370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.