Active NPI
Mary Tumsutan, APRN
- Family Nurse Practitioner
- Jacksonville, IL
National Provider Identifier
1013827872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209034219
- Practice address
- 901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021 - Phone
- (217) 588-6140
- Fax
- (217) 588-3043
- NPI assigned
- Sep 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209034219 | IL | Primary |
Addresses
Primary practice location
901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Mailing address
901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Phone (217) 588-6140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041481801 | Other | IL | RN LICENSE |
Other names 1
- Piyanush Tumsatan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1013827872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W MORTON AVE STE 22",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626504021",
"telephone_number": "217-588-6140",
"fax_number": "217-588-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MORTON AVE STE 22",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626504021",
"telephone_number": "217-588-6140",
"fax_number": "217-588-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMSUTAN",
"first_name": "MARY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209034219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "041481801",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PIYANUSH",
"last_name": "TUMSATAN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.