Individual provider Active NPI

Monique Martha Spears, APRN

  • Family Nurse Practitioner
  • Oak Brook, IL
National Provider Identifier
1952945438
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019985 Issued in IL
Practice address
1520 Kensington Rd
Ste 212
Oak Brook, IL 60523-2139
Phone
(888) 562-5442
Fax
(844) 861-1929
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X N261125370 WA
Family Nurse Practitioner 363LF0000X 209019985 IL Primary

Addresses

Primary practice location

1520 Kensington Rd
Ste 212
Oak Brook, IL 60523-2139

Mailing address

511 N Beadle Dr
Carbondale, IL 62901-1077
Phone (773) 450-7203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WA, TX, UT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191112002300 IL Practitioner - Nurse Practitioner 3173955234 Reassigns benefits to 2 organizations
I20210107001079 WA Practitioner - Nurse Practitioner 3173955234 Reassigns benefits to 2 organizations
I20230103002772 TX Practitioner - Nurse Practitioner 3173955234 Reassigns benefits to 1 organization
I20230518001517 UT Practitioner - Nurse Practitioner 3173955234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209019985ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Nov 20, 2020 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince May 10, 2023 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mspears10109@direct-prd.molinahealthcare.com

Organizations & group practices 5

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1952945438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N BEADLE DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011077",
            "telephone_number": "773-450-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KENSINGTON RD",
            "address_2": "STE 212",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232139",
            "telephone_number": "888-562-5442",
            "fax_number": "844-861-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "MONIQUE",
        "middle_name": "MARTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "N261125370",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.