Individual provider Active NPI

Sarah Schulze, CPNP

  • Pediatric Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1972979409
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
277000861 Issued in IL
Practice address
309 W Clark St
Champaign, IL 61820-4637
Phone
(217) 398-9066
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 209.012584 IL
Pediatric Nurse Practitioner 363LP0200X 209.012584 IL
Pediatric Nurse Practitioner 363LP0200X 277000861 IL Primary

Addresses

Primary practice location

309 W Clark St
Champaign, IL 61820-4637

Mailing address

1806 Woodfield Dr Ste 111-112
Savoy, IL 61874-9505

Other practice location 1

1806 Woodfield Dr Ste 111-112
Savoy, IL 61874-9505
Phone (618) 367-3732

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KareoEHR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.012584ILMDPediatric Nurse Practitioner
277000861ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark and Schulze NP Practice Current Accepting new patients

Locations

1806 Woodfield Dr
Ste 111112
Savoy, IL 61874
Phone (618) 367-3732

1806 Woodfield Dr
Ste 111
Savoy, IL 61874

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1972979409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 WOODFIELD DR STE 111-112",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W CLARK ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204637",
            "telephone_number": "217-398-9066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 Woodfield Dr Ste 111-112",
            "address_purpose": "LOCATION",
            "city": "Savoy",
            "state": "IL",
            "postal_code": "618749505",
            "country_code": "US",
            "telephone_number": "618-367-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "SARAH",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IL",
            "license": "209.012584",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.012584",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "277000861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KareoEHR",
            "affiliation": "N",
            "address_1": "1806 Woodfield Dr Ste 111-112",
            "city": "Savoy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618749505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.