Jean-Marie Tyner, FNP
Individual provider Active NPI Family Nurse Practitioner · El Paso, IL
NPI 1003095167 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1003095167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209006705 (IL)
- Practice address
- 385 S Orange St
El Paso, IL 61738-1613 - Phone
- (309) 527-4900
- Fax
- (309) 527-3525
- NPI assigned
- Oct 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle West Physician Group Inc
Carle Health Care Incorporated
Practice addresses (Care Compare)
1302 Franklin Ave
Suite 1100
Normal, IL 61761-0016
Phone (309) 268-5620
1302 Franklin Ave
Suite 3400
Normal, IL 61761-6523
Phone (309) 556-8295
1302 Franklin Ave
Suite 3600
Normal, IL 61761-3551
Phone (309) 268-6770
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Home Care
- Carle Bromenn Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080128000235 | IL | Practitioner - Nurse Practitioner | 2860574076 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2575 W Algonquin Rd
Algonquin, IL 60102
Phone (847) 854-5533
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
3024 E Empire St
Bloomington, IL 61704
Phone (309) 556-7500
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
29373 Network Pl
Chicago, IL 60673
385 S Orange St
El Paso, IL 61738
Phone (309) 527-4900
911 S Chestnut St
Le Roy, IL 61752
Phone (309) 365-8608
307 W Main St
Lexington, IL 61753
Phone (309) 365-3808
1302 Franklin Ave
Ste 1100
Normal, IL 61761
Phone (309) 268-2727
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- jtyneraprn311080@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209006705 | IL | Yes |
Addresses
Primary practice location
385 S Orange St
El Paso, IL 61738-1613
Mailing address
385 S Orange St
El Paso, IL 61738-1613
Phone (309) 527-4900
Other providers in El Paso, IL
- Abby Jane McCarthy
- Petersen Companies, LLC
- Katie Russow
- Saint James Hospital
- Megan Leanne Traeger
- Jan Wilson
- Mark Calvin Yontz
All providers in El Paso, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.