DR. STACEY L BOETTO (DNP, FNP-C) – Nurse Practitioner, NPI 1104334945

DR. STACEY L BOETTO (DNP, FNP-C) is a healthcare provider. based in Yorkville, Illinois. specializing in Nurse Practitioner. They hold the professional credentials DNP, FNP-C. They hold a License No. 209.017015 (IL). The NPI Number for DR. STACEY L BOETTO (DNP, FNP-C) is 1104334945

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY L BOETTO (DNP, FNP-C)
NPI
1104334945
Phone
(630) 882-9695
Address
332 E VETERANS PKWY
Enumeration Date
15 January 2018
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157176483
Graduation Year
2017 (9 years ago)
PAC ID
5890055719
Group Practice PAC ID
6800079955
Professional Enrollment ID
I20180213003074

Contacts

Secure Messaging
thegdnurse@hotmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness95
Years active:8State licenses:2Other names

Provider Addresses for DR. STACEY L BOETTO (DNP, FNP-C)

  • 332 E VETERANS PKWY

    YORKVILLE, IL 605601767

    Phone: (630) 882-9695

    Type: Mailing

  • 142 E ONTARIO ST STE 1200

    CHICAGO, IL 606112750

    Phone: (312) 535-9440

    Type: Mailing

  • 303 N Raven Rd

    Shorewood, IL 604049639

    Phone: (815) 546-4575

    Type: Location

  • 303, North Raven Road, Shorewood, Will County, Illinois, 60404, United States

    SHOREWOOD, IL 604049639

    Phone: (815) 546-4575

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2023-08-21 • Largest payer in this snapshot: Eko Health, Inc. ($75).

Total Amount

$75

General + Research + Ownership

Payments

1

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Eko Health, Inc.$75
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800079955View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. STACEY L BOETTO (DNP, FNP-C)?
The registry entry for DR. STACEY L BOETTO (DNP, FNP-C) shows NPI 1104334945.
Quick check: is DR. STACEY L BOETTO (DNP, FNP-C) active?
Public NPPES data shows DR. STACEY L BOETTO (DNP, FNP-C) with an active NPI status right now.
What does the directory say DR. STACEY L BOETTO (DNP, FNP-C) does?
Insurance directories may phrase it differently, but here DR. STACEY L BOETTO (DNP, FNP-C) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STACEY L BOETTO (DNP, FNP-C)?
DR. STACEY L BOETTO (DNP, FNP-C) shows a connection to Yorkville, Illinois in registry-derived data.
Can I export DR. STACEY L BOETTO (DNP, FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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