NPIMap

Individual provider Active NPI

Lori A Bland, NP-C

  • Family Nurse Practitioner
  • Taylorville, IL
National Provider Identifier
1043790306
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-017933 Issued in IL
Practice address
303 E Bidwell St
Taylorville, IL 62568-1363
Phone
(217) 824-3566
Fax
(217) 824-1344
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Board of Trustees of Southern Illinois University 139 clinicians

Practice addresses (Care Compare)

303 E Bidwell St
Taylorville, IL 62568-1363
Phone (217) 545-8000

Hospital & facility affiliations

  • Taylorville Memorial Hospital Hospital, Taylorville, IL, CCN 141339
  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148

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
I20181009001818 IL Practitioner - Nurse Practitioner 2365794922 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-017933ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Apr 12, 2023 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Apr 12, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 19, 2018 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 19, 2018 Accepting new patients
Southern Illinois University Past Accepting new patients

Locations

102 W Kenwood Ave
Lowr
Decatur, IL 62526
Phone (217) 428-9822

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

303 E Bidwell St
Taylorville, IL 62568
Phone (217) 824-1134

Interoperability endpoints

  • Direct secure messaging: loribland@siusm.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209-017933 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

303 E Bidwell St
Taylorville, IL 62568-1363

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2023.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1043790306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BIDWELL ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681363",
            "telephone_number": "217-824-3566",
            "fax_number": "217-824-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-017933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.