Active NPI
Sharon E. Larsen, DNP - APN
- Family Nurse Practitioner
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.000073
- Practice address
- 380 N Terra Cotta Rd Ste E
Crystal Lake, IL 60012-1809 - Phone
- (815) 459-7127
- Fax
- (833) 944-2257
- NPI assigned
- May 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277.000073 | IL | Primary |
Addresses
Primary practice location
380 N Terra Cotta Rd Ste E
Crystal Lake, IL 60012-1809
Mailing address
70 Esther St
Crystal Lake, IL 60014-6140
Phone (815) 405-2210
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
760 McArdle Dr
Suite a
Crystal Lake, IL 60014-8149
Phone (815) 459-7127
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine McHenry
- Advocate Good Shepherd Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.000073 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elio M Vento MD & Associates SC | Current | Accepting new patients | |
| Cardinalight Health, LLC | Family | Current | Accepting new patients |
| Fox Ridge Medical Associates, LLC | Past | Accepting new patients |
Locations
411 E Congress Pkwy
Ste C
Crystal Lake, IL 60014
Phone (815) 455-8213
760 McArdle Dr
Ste A
Crystal Lake, IL 60014
Phone (815) 459-7127
380 N Terra Cotta Rd
Ste E
Crystal Lake, IL 60012
Phone (815) 265-6561
2350 Royal Blvd
Ste 100
Elgin, IL 60123
Phone (847) 695-8100
Interoperability endpoints
- https://api.platform.athenahealth.com/21874/brand/1/csg/1/fhir/r4
- sharon.larsen.1@21874.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/FDBJBA
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.
-
- Family Nurse Practitioner
- Crystal Lake, IL
- NPI 1760956726
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1063635431
-
- Primary Care Clinic/Center
- McHenry, IL
- NPI 1205322716
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1861785032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 ESTHER ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146140",
"telephone_number": "815-405-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 N TERRA COTTA RD STE E",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600121809",
"telephone_number": "815-459-7127",
"fax_number": "833-944-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "SHARON",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "DNP - APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-22",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.000073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.