Individual provider Active NPI

Nekeisha Sturghill, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1922633379
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.020993 Issued in IL
Practice address
5962 N Elston Ave
Chicago, IL 60646-5540
Phone
(773) 774-7300
Fax
(773) 774-7313
NPI assigned
Mar 5, 2020
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 209.020993 IL Primary

Addresses

Primary practice location

5962 N Elston Ave
Chicago, IL 60646-5540

Mailing address

5962 N Elston Ave
Chicago, IL 60646-5540
Phone (773) 774-7300

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
I20201202000612 IL Practitioner - Nurse Practitioner 4981015674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.020993ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD @ Home Illinois, SC CurrentSince Nov 30, 2020 Accepting new patients
Emb Incorporated PastSince Jan 17, 2022 Accepting new patients

Locations

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

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.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1922633379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465540",
            "telephone_number": "773-774-7300",
            "fax_number": "773-774-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465540",
            "telephone_number": "773-774-7300",
            "fax_number": "773-774-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGHILL",
        "first_name": "NEKEISHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.