Individual provider Active NPI

Jean-Marie Tyner, FNP

  • Family Nurse Practitioner
  • El Paso, IL
National Provider Identifier
1003095167
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209006705 Issued in 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
Last updated
Oct 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209006705 IL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000235 IL Practitioner - Nurse Practitioner 2860574076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group CurrentSince Dec 11, 2020 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 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

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 902-5300

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

  • Direct secure messaging: jtyneraprn311080@carlehiedirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1003095167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S ORANGE ST",
            "city": "EL PASO",
            "state": "IL",
            "postal_code": "617381613",
            "telephone_number": "309-527-4900",
            "fax_number": "309-527-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S ORANGE ST",
            "city": "EL PASO",
            "state": "IL",
            "postal_code": "617381613",
            "telephone_number": "309-527-4900",
            "fax_number": "309-527-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNER",
        "first_name": "JEAN-MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209006705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, IL

Sources for this page

Verify at the official NPI Registry.