Individual provider Active NPI

Cheri Lynn Sprietler, NP APN

  • Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1942236658
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
041251986 Issued in IL
Practice address
954 W State St
Sycamore, IL 60178-1335
Phone
(815) 895-9144
Fax
(815) 895-5740
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041251986 IL Primary

Addresses

Primary practice location

954 W State St
Sycamore, IL 60178-1335

Mailing address

954 W State St
Sycamore, IL 60178-1335
Phone (815) 895-9144

Other identifiers 1

IdentifierTypeStateIssuer
729000OtherILMEDICARE GROUP

Other names 1

  • Cheri Spaete Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csprietler129660@direct.edward.org Direct

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
I20070601000058 IL Practitioner - Nurse Practitioner 1658479431 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041251986ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Jun 5, 2018 Accepting new patients
Edward Health Ventures CurrentSince Jun 5, 2018 Accepting new patients

Locations

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

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

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

954 W State St
Sycamore, IL 60178
Phone (815) 895-9144

Interoperability endpoints

  • Direct secure messaging: csprietler129660@direct.edward.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1942236658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 W STATE ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781335",
            "telephone_number": "815-895-9144",
            "fax_number": "815-895-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W STATE ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781335",
            "telephone_number": "815-895-9144",
            "fax_number": "815-895-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRIETLER",
        "first_name": "CHERI",
        "middle_name": "LYNN",
        "credential": "NP APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041251986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "729000",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csprietler129660@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "954 W State St",
            "city": "Sycamore",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601781335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHERI",
            "last_name": "SPAETE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.