Olivia Ann Delay, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Springfield, IL
NPI 1033795992 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1033795992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209022236 (IL)
- Practice address
- 319 E Madison St Ste 1F
Springfield, IL 62701-3118 - Phone
- (217) 545-8000
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Board of Trustees of Southern Illinois University
Practice addresses (Care Compare)
319 E Madison St
Suite 1F
Springfield, IL 62701-3118
Phone (217) 545-8000
Hospital & facility affiliations
- Enhabit Home Health
- Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210503000854 | IL | Practitioner - Nurse Practitioner | 4486063534 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current |
Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Springfield Clinic LLP | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current |
Accepting new patients |
Locations
1025 S 6th St
Springfield, IL 62703
319 E Madison St
Ste 1F
Springfield, IL 62701
Phone (217) 788-3948
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
201 E Madison St
Ste 328
Springfield, IL 62702
Interoperability endpoints
- oliviadelay@sfc.allscriptsdirect.net
- oliviadelay@siusm.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209022236 | IL | Yes |
Addresses
Primary practice location
319 E Madison St Ste 1F
Springfield, IL 62701-3118
Mailing address
201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000
Other practice location 1
1025 S 6th St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other practice location 2
520 N 4th St
Springfield, IL 62702-5238
Phone (217) 757-8197
Other providers in Springfield, IL
- Keelan C. Dehart
- Elizabeth Deitemyer
- Marc R. Dejong
- Jonathan E. Dela Cruz
- Marthe K.P. Dela Cruz
- Diane Deleonardo
- Mia Elise Delgado
- Lizbeth Velazquez Della Catena
- Theresa B. Delvo
- Andrew Jacob Demarco
All providers in Springfield, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.