Active NPI
Stephanie Wascher, APRN
- Nurse Practitioner
- River Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.024370
- Practice address
- 7343 Lake St
River Forest, IL 60305-2206 - Phone
- (708) 231-8908
- NPI assigned
- Nov 23, 2021
- Last updated
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.024370 | IL | Primary |
| Surgery Physician | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024370 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive & Renew | Current | Accepting new patients | |
| Progressive Surgical Associates SC | Single Specialty | Current | Accepting new patients |
| Midwest Express Care 2, Inc | Single Specialty | Current | Accepting new patients |
| Midwest Express Care 2, Inc | Current | 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 8157178730 ext. 100
7343 Lake St
River Forest, IL 60305
Phone (708) 231-8908
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
Interoperability endpoints
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
Single Specialty
-
- Primary Care Clinic/Center
- Lombard, IL
- NPI 1124902994
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.