Individual provider Active NPI

Chelsea J Sword, FNP-C

  • Family Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1952891863
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017651 Issued in IL
Practice address
2540 Hauser Ross Dr Ste 275
Sycamore, IL 60178-3178
Phone
(815) 748-3040
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 209017651 IL Primary

Addresses

Primary practice location

2540 Hauser Ross Dr Ste 275
Sycamore, IL 60178-3178

Mailing address

605 S 4TH St
Dekalb, IL 60115-4127

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
I20180709000741 IL Practitioner - Nurse Practitioner 1052667979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209017651ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sycamore Medical Associates LLC CurrentSince May 15, 2018 Accepting new patients

Locations

2560 Hauser Ross Dr
Ste 450
Sycamore, IL 60178
Phone (815) 748-0315

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABCDA

Organizations & group practices 1

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1952891863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S 4TH ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 HAUSER ROSS DR STE 275",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783178",
            "telephone_number": "815-748-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWORD",
        "first_name": "CHELSEA",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.