Individual provider Active NPI

Nico Paula Perez Sagadraca, APRN, MSN, FNP-BC

  • Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1811509714
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.021593 Issued in IL
Practice address
1775 Dempster St
Park Ridge, IL 60068-1143
Phone
(847) 723-6522
Fax
(847) 696-3394
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 209.021593 IL
Nurse Practitioner 363L00000X 209.021593 IL Primary

Addresses

Primary practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661
Phone (331) 231-6200

Other practice location 2

801 S Washington St Fl 4
Naperville, IL 60540-7430
Phone (630) 600-0700

Other practice location 3

2550 Hauser Ross Dr Ste 350
Sycamore, IL 60178-3181
Phone (815) 758-7700

Other practice location 4

1937 Buckingham Dr
Wheaton, IL 60189-5811
Phone (773) 600-3512

Other practice location 5

2550 Hauser Ross Dr Ste 350
Sycamore, IL 60178-3181
Phone (815) 758-7700

Other practice location 6

2550 Hauser Ross Dr Ste 350
Sycamore, IL 60178-3181
Phone (815) 758-7700

Other names 1

  • Nico Paula Leoncito Perez Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address nsagadraca247580@direct.myadvocateaurora.org Direct

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
I20210218000118 IL Practitioner - Nurse Practitioner 2264847607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
209.021593ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Current Accepting new patients
Presence Healthcare Services CurrentSince Oct 3, 2024 Accepting new patients
Resurrection Services CurrentSince Oct 3, 2024 Accepting new patients

Locations

62311 Collection Ctr Dr
Chicago, IL 60693

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

Interoperability endpoints

  • Direct secure messaging: nsagadraca247580@direct.myadvocateaurora.org

Organizations & group practices 3

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 1

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1811509714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-723-6522",
            "fax_number": "847-696-3394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 E Brush Hill Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601265661",
            "country_code": "US",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S Washington St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605407430",
            "country_code": "US",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Hauser Ross Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783181",
            "country_code": "US",
            "telephone_number": "815-758-7700",
            "fax_number": "815-756-6103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1937 Buckingham Dr",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601895811",
            "country_code": "US",
            "telephone_number": "773-600-3512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Hauser Ross Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783181",
            "country_code": "US",
            "telephone_number": "815-758-7700",
            "fax_number": "815-756-6103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Hauser Ross Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783181",
            "country_code": "US",
            "telephone_number": "815-758-7700",
            "fax_number": "815-756-6103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGADRACA",
        "first_name": "NICO PAULA",
        "middle_name": "PEREZ",
        "credential": "APRN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.021593",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.021593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsagadraca247580@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICO PAULA",
            "last_name": "PEREZ",
            "middle_name": "LEONCITO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.