Individual provider Active NPI

Joanna Sturnieks

  • Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1861026585
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209020973 Issued in IL
Practice address
5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415
Phone
(708) 636-1601
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209020973 IL Primary

Addresses

Primary practice location

5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415

Mailing address

1092 Norwalk Rd
Lemont, IL 60439-8557

Other identifiers 1

IdentifierTypeStateIssuer
209020973MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL adultprimarycarecenter@gmail.com 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
I20221122001898 IL Practitioner - Nurse Practitioner 1355719303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Primary Care Center LTDGroup PAC ID 4284781956, 5 clinicians

Practice addresses (Care Compare)

5851 W 95TH St
Suite 100
Oak Lawn, IL 60453-2415
Phone (708) 636-1601

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dale S Raines & Associates LTD Current Accepting new patients
Adult Primary Care Center, LTD. CurrentSince Aug 6, 2022 Accepting new patients

Locations

5851 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 636-1601

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, 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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1861026585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 NORWALK RD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532415",
            "telephone_number": "708-636-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURNIEKS",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209020973",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "adultprimarycarecenter@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5851 W 95th St Ste 100",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.