Individual provider Active NPI

Kimberly Sparenberg, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1891345518
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019434 Issued in IL
Practice address
332 S Michigan Ave Ste 1100
Chicago, IL 60604-4416
Phone
(888) 660-4425
NPI assigned
Sep 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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 209.019434 IL Primary

Addresses

Primary practice location

332 S Michigan Ave Ste 1100
Chicago, IL 60604-4416

Mailing address

9 W Church Rd
Beecher, IL 60401-3107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191016002603 IL Practitioner - Nurse Practitioner 9234460635 Reassigns benefits to 3 organizations
I20240627003837 IN Practitioner - Nurse Practitioner 9234460635 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019434ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care Aco PLLC CurrentSince Jul 9, 2024 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Nov 4, 2019 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1201 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-2600

716 18th St
Charleston, IL 61920
Phone (217) 345-7054

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

11401 S Oakley Ave
Chicago, IL 60643
Phone (733) 233-6311

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

332 S Michigan Ave
Ste 1100
Chicago, IL 60604
Phone (618) 444-7231

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

1390 S Crescent St
Gilman, IL 60938
Phone (414) 721-8669

3300 175th St
Hazel Crest, IL 60429
Phone (708) 335-2400

2145 E 170th St
South Holland, IL 60473
Phone (708) 849-5000

16300 Wausau Ave
South Holland, IL 60473
Phone (708) 596-5500

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

4100 N Morrison Rd
Muncie, IN 47304
Phone (765) 212-3162

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1891345518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W CHURCH RD",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 1100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044416",
            "telephone_number": "888-660-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARENBERG",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.