Active NPI
Cheryl Hansen, APRN
- Family Nurse Practitioner
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277000797
- Practice address
- 3024 E Empire St
Bloomington, IL 61704-5402 - Phone
- (309) 454-4411
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209014167 | IL | |
| Family Nurse Practitioner | 363LF0000X | 277000797 | IL | Primary |
Addresses
Primary practice location
3024 E Empire St
Bloomington, IL 61704-5402
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Other practice location 1
700 W Lincoln St
Pontiac, IL 61764-2323
Phone (815) 842-2816 ext. 2664
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210
400 S Kennedy Dr
Suite 200
Bradley, IL 60915-2686
Phone (815) 933-0007
5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100
Hospital & facility affiliations
- Riverside Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients |
Locations
3024 E Empire St
Bloomington, IL 61704
Phone (309) 556-7500
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
400 S Kennedy Dr
Ste 700
Bradley, IL 60915
Phone (815) 935-7532
5775 E State Route 113
Coal City, IL 60416
Phone (815) 634-0100
375 N Wall St
Kankakee, IL 60901
Phone (815) 401-4603
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1490 E Walnut St
Ste A
Watseka, IL 60970
Phone (815) 432-7693
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- chansenaprn375487@carlehiedirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1003370982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 E EMPIRE ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617045402",
"telephone_number": "309-454-4411"
}
],
"practiceLocations": [
{
"address_1": "700 W Lincoln St",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "IL",
"postal_code": "617642323",
"country_code": "US",
"telephone_number": "815-842-2816 x2664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "CHERYL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-25",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209014167",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277000797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.