Active NPI
Rebecca Eugenia Sparks, ANP
- Family Nurse Practitioner
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209005418
- Practice address
- 2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200 - Phone
- (217) 258-7590
- Fax
- (217) 258-3686
- NPI assigned
- Dec 13, 2006
- Last updated
- Apr 26, 2024
- 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 | 209005418 | IL | Primary |
Addresses
Primary practice location
2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200
Mailing address
2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200
Phone (217) 258-7590
Other practice location 1
1200 W Niccum Ave
swuite 1
Effingham, IL 62401-4217
Phone (217) 540-6680
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2512 Hurst Dr
Suite 130
Mattoon, IL 61938-9200
Phone (217) 258-5900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Mindgent Healthcare Clinics, LLC | Past | Accepting new patients |
Locations
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
2512 Hurst Dr
Ste 120
Mattoon, IL 61938
Phone (217) 258-5900
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- rsparksaprn410230@carlehiedirect.net
Organizations & group practices 6
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.
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
dba Charlotte Ann Russell Medical Center
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1598716524
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hoopeston Community Ambulance
- Ambulance
- Hoopeston, IL
- NPI 1164594594
Hospital
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1922169945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 HURST DR STE 120",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389200",
"telephone_number": "217-258-7590",
"fax_number": "217-258-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 HURST DR STE 120",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389200",
"telephone_number": "217-258-7590",
"fax_number": "217-258-3686"
}
],
"practiceLocations": [
{
"address_1": "1200 W Niccum Ave",
"address_2": "swuite 1",
"address_purpose": "LOCATION",
"city": "Effingham",
"state": "IL",
"postal_code": "624014217",
"country_code": "US",
"telephone_number": "217-540-6680",
"fax_number": "217-540-6689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "REBECCA",
"middle_name": "EUGENIA",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209005418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
- Southern Illinois Healthcare Foundation, Inc (SIHF Healthcare)
- Southern Illinois Healthcare Foundation, Inc (LifeLinks Mental Health)
- Amber Sowers, APRN
- Angie Sowers, B.A.
- Melanie Y Sparks, PT, DPT
- Paige A Sparling
- Edward Spring
- St Anthonys Memorial Hospital of the Hospital Sisters of the Third (HSHS St. Anthony's Health Center Mattoon)
- Shannon Lynn Stallworth, L.M.T,NCTMB
- Matthew Allan Stanley, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.