Individual provider Active NPI

Robin Marie Spatola, APRN

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1831710276
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019749 Issued in IL
Practice address
1890 Silver Cross Blvd.
Suite 210
New Lenox, IL 60451
Phone
(815) 463-3000
Fax
(815) 463-3013
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.019749 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd.
Suite 210
New Lenox, IL 60451

Mailing address

1890 Silver Cross Blvd.
Suite 210
New Lenox, IL 60451
Phone (815) 463-3000

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
I20201110000295 IL Practitioner - Nurse Practitioner 6204246820 Reassigns benefits to 2 organizations

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
Partners in Obstetrics and Womens HealthGroup PAC ID 2365402641, 11 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019749ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Obstetrics & Womens Health CurrentSince Feb 1, 2023 Accepting new patients
Dupage Internal Medicine of Illinois LLC CurrentSince Oct 15, 2020 Accepting new patients

Locations

534 W Chestnut St
Ste 210
Hinsdale, IL 60521
Phone (630) 323-7833

1890 Silver Cross Blvd
Ste 210
New Lenox, IL 60451
Phone (815) 463-3000

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

Interoperability endpoints

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

Organizations & group practices 2

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1831710276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD.",
            "address_2": "SUITE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD.",
            "address_2": "SUITE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATOLA",
        "first_name": "ROBIN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.