SUMMER L PARK APN
NPI 1114196904
Nurse Practitioner - Family in Champaign, IL
About Summer L Park Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMER L PARK APN (NPI 1114196904) is an individual family provider in Champaign, Illinois, licensed in Illinois (209006933) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Summer L Park Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Summer Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Champaign, IL 61820
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: The Board Of Trustees Of The University Of Illinois
- 2,127 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Summer Park's NPI number?
The NPI number for Summer Park is 1114196904. It was assigned to this individual provider in the NPPES registry on February 26, 2008. The provider is also known as Summer L Roeschley Apn.
Where is Summer Park located?
Summer Park practices at 1801 Windsor Rd, Champaign, IL 61822. The listed phone number is (217) 366-6104.
What is Summer Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Summer Park enrolled in Medicare?
Yes. Summer Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Summer Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Summer Park reassigns Medicare benefits to 2 organizations: University Of Illinois Speech And Hearing (Champaign, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Summer Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Summer Park affiliated with any hospitals?
According to CMS data, Summer Park is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Summer Park was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Summer L Park, APN · NPI 1114196904
Family physician in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since February 26, 2008.
## Identity
- **NPI:** 1114196904 (Entity type: Individual)
- **Enumerated:** February 26, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209006933 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 WINDSOR RD, Champaign, IL 61822-6217
- **Phone:** (217) 366-6104 · **Fax:** (217) 366-6106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Illinois Speech And Hearing (NPI 1497923767, Champaign, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1114196904) · Data from the CMS NPPES public registry.