Individual provider Active NPI

Sergio A. Sosa Jr., APN-CNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1912305707
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012266 Issued in IL
Practice address
3752 W 16TH St
Chicago, IL 60623-2028
Phone
(773) 762-2435
NPI assigned
Dec 11, 2014
Last updated
May 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012266 IL Primary
Family Nurse Practitioner 363LF0000X 209.012266 IL

Addresses

Primary practice location

3752 W 16TH St
Chicago, IL 60623-2028

Mailing address

3752 W 16TH St
Chicago, IL 60623-2028
Phone (773) 762-2435

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
I20150527001587 IL Practitioner - Nurse Practitioner 1355661760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2205 Butterfield Rd
Downers Grove, IL 60515-1157
Phone (630) 527-3645

2650 Ridge Ave
Evanston, IL 60201-1700

755 N York St
Elmhurst, IL 60126-1607
Phone (331) 221-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012266ILMDNurse Practitioner
209.012266ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 12, 2023 Accepting new patients
Access Community Health Network CurrentSince Aug 23, 2015 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 12, 2023 Accepting new patients
Access Community Health Network CurrentSince Aug 23, 2015 Accepting new patients
Edward Health Ventures CurrentSince Jun 15, 2019 Accepting new patients
Edward Health Ventures CurrentSince Jun 15, 2019 Accepting new patients
Access Community Health Network Current Accepting new patients

Locations

3752 W 16th St
Chicago, IL 60623
Phone (773) 521-0060

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

10203 Grand Ave
Franklin Park, IL 60131
Phone (847) 455-0633

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Interoperability endpoints

  • Direct secure messaging: ssosa117848@direct.edward.org

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 1

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1912305707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 W 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232028",
            "telephone_number": "773-762-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 W 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232028",
            "telephone_number": "773-762-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "SERGIO",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012266",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.012266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.