Individual provider Active NPI

Kira Lynn Sheedy, FNP-BC

  • Family Nurse Practitioner
  • Morris, IL
National Provider Identifier
1770311748
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209030670 Issued in IL
Practice address
1300 Dresden Dr
Morris, IL 60450-2476
Phone
(815) 942-5200
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209030670 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1300 Dresden Dr
Morris, IL 60450-2476

Mailing address

1300 Dresden Dr
Morris, IL 60450-2476
Phone (815) 942-5200

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
I20250314000254 IL Practitioner - Nurse Practitioner 3375065857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

1300 Dresden Dr
Morris, IL 60450-2476
Phone (815) 942-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital CurrentSince Mar 17, 2025 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Mar 17, 2025 Accepting new patients
Morris Hospital Past Accepting new patients

Locations

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

725 School St
Ste A
Morris, IL 60450

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1300 Dresden Dr
Morris, IL 60450
Phone (815) 942-5200

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1770311748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DRESDEN DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502476",
            "telephone_number": "815-942-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DRESDEN DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502476",
            "telephone_number": "815-942-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEDY",
        "first_name": "KIRA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030670",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.