Individual provider Active NPI

Candace R Ramirez, APN

  • Family Nurse Practitioner
  • Peru, IL
National Provider Identifier
1053087767
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.023551 Issued in IL
Practice address
1650 Midtown Road
Peru, IL 61354
Phone
(815) 538-1351
NPI assigned
Aug 22, 2021
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.023551 IL Primary

Addresses

Primary practice location

1650 Midtown Road
Peru, IL 61354

Mailing address

1650 Midtown Road
Peru, IL 61354
Phone (815) 538-1351

Other practice location 1

920 West St Ste 211
Peru, IL 61354-2769
Phone (815) 223-2143

Other identifiers 1

IdentifierTypeStateIssuer
14130MedicaidIL

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
I20211007003068 IL Practitioner - Nurse Practitioner 9537567391 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1050 E Norris Dr
Suite 3a Ortho
Ottawa, IL 61350-1646
Phone (815) 431-5746

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.023551ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Jun 21, 2023 Accepting new patients
Mendota Community Hospital CurrentSince Jun 21, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jun 21, 2023 Accepting new patients
Mendota Community Hospital Current Accepting new patients
Osf Healthcare System CurrentSince Jun 21, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jun 21, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Saint James Hospital CurrentSince Jun 21, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2023 Accepting new patients
Mendota Community Hospital CurrentSince Jun 21, 2023 Accepting new patients
Osf Healthcare System CurrentSince Jun 21, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients
Osf Healthcare System Past Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1405 E 12th St
Mendota, IL 61342
Phone (815) 538-7200

1405 E 12th St
Ste 300
Mendota, IL 61342
Phone (815) 538-7200

1405 E 12th St
Ste 600
Mendota, IL 61342
Phone (815) 538-7200

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1050 E Norris Dr
Ste 3A
Ottawa, IL 61350
Phone (815) 431-5746

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1640 1st Ave
Ottawa, IL 61350
Phone (815) 431-9208

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1650 Midtown Rd
Peru, IL 61354
Phone (815) 220-1122

920 West St
Ste 211
Peru, IL 61354
Phone (815) 223-2143

920 West St
Ste 221
Peru, IL 61354
Phone (815) 221-1304

925 West St
Peru, IL 61354
Phone (815) 223-3300

530 Park Ave E
Ste 101
Princeton, IL 61356
Phone (815) 872-1221

535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1053087767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MIDTOWN ROAD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "61354",
            "telephone_number": "815-538-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MIDTOWN ROAD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "61354",
            "telephone_number": "815-538-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 West St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IL",
            "postal_code": "613542769",
            "country_code": "US",
            "telephone_number": "815-223-2143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "CANDACE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2024-07-18",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.023551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14130",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.