Individual provider Active NPI

Junitta Cyrine Stieren

  • Family Nurse Practitioner
  • Virginia, IL
National Provider Identifier
1073501078
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209001823 Issued in IL
Practice address
331 S Main St
Virginia, IL 62691-1571
Phone
(217) 452-3057
Fax
(217) 452-7245
NPI assigned
Oct 12, 2005
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 209001823 IL Primary

Addresses

Primary practice location

331 S Main St
Virginia, IL 62691-1571

Mailing address

850 E Madison St
Springfield, IL 62702-5500
Phone (217) 744-9355

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
I20041025000131 IL Practitioner - Nurse Practitioner 8123089026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209001823ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Public Health Dept Current Accepting new patients
Memorial Physician Services CurrentSince Jan 12, 2025 Accepting new patients
Memorial Physician Services Current Accepting new patients
Cass County Public Health Dept Current Accepting new patients
Cass County Public Health Dept CurrentSince Sep 23, 2024 Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

2950 S 6th St
Springfield, IL 62703
Phone (217) 588-2600

3132 Old Jacksonville Rd
Springfield, IL 62704
Phone (217) 862-0062

3132 Old Jacksonville Rd
Ste 110
Springfield, IL 62704
Phone (217) 588-2600

331 S Main St
Virginia, IL 62691
Phone (217) 452-3057

Interoperability endpoints

  • Direct secure messaging: junitta.stieren.p15@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1073501078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E MADISON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025500",
            "telephone_number": "217-744-9355",
            "fax_number": "217-528-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S MAIN ST",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "626911571",
            "telephone_number": "217-452-3057",
            "fax_number": "217-452-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEREN",
        "first_name": "JUNITTA",
        "middle_name": "CYRINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209001823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, IL

Sources for this page

Verify at the official NPI Registry.