Individual provider Active NPI

Diana L. Oakley, APN

  • Nurse Practitioner
  • Mattoon, IL
National Provider Identifier
1033431580
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209008054 Issued in IL
Practice address
1005 Health Center Dr Ste 104
Mattoon, IL 61938-4637
Phone
(217) 258-2178
Fax
(217) 258-4024
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209008054 IL Primary

Addresses

Primary practice location

1005 Health Center Dr Ste 104
Mattoon, IL 61938-4637

Mailing address

1005 Health Center Dr Ste 201
Mattoon, IL 61938-4693
Phone (217) 238-6055

Other practice location 1

934 N Route 49 Ste A
Casey, IL 62420-1454
Phone (217) 932-4061

Other identifiers 1

IdentifierTypeStateIssuer
209008054OtherILILLINOIS DIVISION OF PROFESSIONAL REGULATION

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
I20110302000416 IL Practitioner - Nurse Practitioner 4981885548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209008054ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Jan 10, 2011 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients

Locations

934 N Route 49
Ste A
Casey, IL 62420
Phone (217) 932-4061

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1005 Health Center Dr
Ste 104
Mattoon, IL 61938
Phone (217) 258-2178

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1033431580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HEALTH CENTER DR STE 201",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384693",
            "telephone_number": "217-238-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HEALTH CENTER DR STE 104",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384637",
            "telephone_number": "217-258-2178",
            "fax_number": "217-258-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 N Route 49 Ste A",
            "address_purpose": "LOCATION",
            "city": "Casey",
            "state": "IL",
            "postal_code": "624201454",
            "country_code": "US",
            "telephone_number": "217-932-4061",
            "fax_number": "217-932-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OAKLEY",
        "first_name": "DIANA",
        "middle_name": "L.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209008054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DIVISION OF PROFESSIONAL REGULATION",
            "identifier": "209008054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.