Active NPI
Elizabeth Joy Masters, MSN, FNP-BC
- Nurse Practitioner
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209024189
- Practice address
- 1400 W Park St
Urbana, IL 61801-2334 - Phone
- (217) 337-2676
- NPI assigned
- Nov 13, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209024189 | IL | Primary |
Addresses
Primary practice location
1400 W Park St
Urbana, IL 61801-2334
Mailing address
1419 Riverbend LN
White Heath, IL 61884-9300
Phone (630) 373-8201
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
Enrollment records 1
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
Practice addresses (Care Compare)
2043 S Neil St
Champaign, IL 61820-7219
Phone (217) 693-6220
812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209024189 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstline Healthcare PLLC | Current | Accepting new patients | |
| Iems Physician Services PLLC | Nurse Practitioner | Current | Accepting new patients |
| Firstline Healthcare PLLC | Past | Accepting new patients |
Locations
2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Champaign, IL
- NPI 1871466086
-
- Emergency Medicine Physician
- Urbana, IL
- NPI 1790544047
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Champaign, IL
- NPI 1699647180
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Urbana, IL
- NPI 1649783473
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1659884476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636761600000",
"number": "1063178036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 RIVERBEND LN",
"city": "WHITE HEATH",
"state": "IL",
"postal_code": "618849300",
"telephone_number": "630-373-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012334",
"telephone_number": "217-337-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "ELIZABETH",
"middle_name": "JOY",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-13",
"last_updated": "2021-11-13",
"certification_date": "2021-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209024189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.