NPIMap

Individual provider Active NPI

Danielle Lynn Frueh, FNP-BC

  • Family Nurse Practitioner
  • Shiloh, IL
National Provider Identifier
1013524487
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023043 Issued in IL
Practice address
1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone
(618) 997-5266
NPI assigned
Sep 29, 2020
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213047 AR
Family Nurse Practitioner 363LF0000X 209023043 IL Primary

Addresses

Primary practice location

1170 Fortune Blvd
Shiloh, IL 62269-7358

Mailing address

3230 Veterans Memorial Dr
Mount Vernon, IL 62864-5950

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
I20211026001945 IL Practitioner - Nurse Practitioner 2668883257 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gerio Primary Care PCGroup PAC ID 0749640969, 13 clinicians

Practice addresses (Care Compare)

291 E 2ND St
Beckemeyer, IL 62219-4202
Phone (618) 484-9030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.36 of 100Reported as group
Quality
84.63
Improvement activities
40
Cost
55.93

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213047ARMDFamily Nurse Practitioner
209023043ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 4, 2025 Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Nov 4, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Oct 11, 2021 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Nov 4, 2023 Accepting new patients
Gerio Primary Care PC CurrentSince Mar 27, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Oct 11, 2021 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Gerio Primary Care PastSince Feb 1, 2025 Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1 Perryman St
Lebanon, IL 62254
Phone (618) 537-6165

4655 W Chase Ave
Lincolnwood, IL 60712
Phone 8472623800202

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 430-3722

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD/Endpoint/FEEBDD

Organizations & group practices 9

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 3

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1013524487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 VETERANS MEMORIAL DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697358",
            "telephone_number": "618-997-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUEH",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "213047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.