Stacey Boetto, DNP, FNP-C
NPI 1104334945 · Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1104334945
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.017015 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 303 N Raven RdShorewood, IL 60404-9639Phone: (815) 546-4575
Registry dates
- Enumerated
- 2018-01-15
- Last updated
- 2025-09-12
- Certified
- 2025-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.