NPIMap

Individual provider Active NPI

Rachel Nicole Myers, M.D.

  • Family Medicine Physician
  • Byron, IL
National Provider Identifier
1013149889
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036125957 Issued in IL
Practice address
109 N Franklin St
Byron, IL 61010-1441
Phone
(815) 234-3900
Fax
(815) 234-3901
NPI assigned
Aug 12, 2009
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036125957 IL Primary

Addresses

Primary practice location

109 N Franklin St
Byron, IL 61010-1441

Mailing address

109 N Franklin St
Byron, IL 61010-1441
Phone (815) 234-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000173 IL Practitioner - Family Practice 5698890523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

109 N Franklin St
Byron, IL 61010-1441
Phone (815) 234-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036125957ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Medical Center CurrentSince May 15, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2016 Accepting new patients
Saint Anthony Medical Center Current Accepting new patients
Rural Health, Inc. Past Accepting new patients
Cardinal Medical Group, LTD. Family Medicine Past Accepting new patients

Locations

109 N Franklin St
Byron, IL 61010
Phone (815) 234-3900

124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

4423 Manchester Dr
Rockford, IL 61109
Phone (815) 226-0966

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

6830 Villagreen Vw
Rockford, IL 61107
Phone (815) 282-1339

Organizations & group practices 6

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 5

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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1013149889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N FRANKLIN ST",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610101441",
            "telephone_number": "815-234-3900",
            "fax_number": "815-234-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FRANKLIN ST",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610101441",
            "telephone_number": "815-234-3900",
            "fax_number": "815-234-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036125957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, IL

Sources for this page

Verify at the official NPI Registry.