Individual provider Active NPI

Shannon Sunshine Trocki, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Woodstock, IL
National Provider Identifier
1851862817
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209016920 Issued in IL
Practice address
3707 Doty Rd Ste B
Woodstock, IL 60098-7530
Phone
(815) 356-2323
Fax
(815) 206-2823
NPI assigned
Dec 16, 2018
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 209.016920 IL
Nurse Practitioner 363L00000X 209016920 IL Primary

Addresses

Primary practice location

3707 Doty Rd Ste B
Woodstock, IL 60098-7530

Mailing address

3707 Doty Rd Ste B
Woodstock, IL 60098-7530
Phone (815) 356-2323

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
I20190219003135 IL Practitioner - Nurse Practitioner 6406194398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

3707 Doty Rd
Woodstock, IL 60098-7530
Phone (815) 338-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209016920ILMDNurse Practitioner
209.016920ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
Central Dupage Physician Group CurrentSince May 31, 2023 Accepting new patients
County of Lake CurrentSince Sep 16, 2019 Accepting new patients
Journeycare, Inc CurrentSince Feb 4, 2019 Accepting new patients
County of Lake CurrentSince Sep 16, 2019 Accepting new patients
Central Dupage Physician Group CurrentSince May 31, 2023 Accepting new patients
Journeycare, Inc. CurrentSince Feb 4, 2019 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

10370 Haligus Rd
Ste 303
Huntley, IL 60142
Phone (815) 356-2323

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

3707 Doty Rd
Woodstock, IL 60098
Phone (815) 206-1068

3707 Doty Rd
Ste B
Woodstock, IL 60098
Phone (815) 206-5540

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1851862817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 DOTY RD STE B",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987530",
            "telephone_number": "815-356-2323",
            "fax_number": "815-206-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 DOTY RD STE B",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987530",
            "telephone_number": "815-356-2323",
            "fax_number": "815-206-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCKI",
        "first_name": "SHANNON",
        "middle_name": "SUNSHINE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016920",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.