NPIMap

Casey Eichenauer, NP

Individual provider Active NPI Family Nurse Practitioner · Decatur, IL

NPI 1083131973 · NPPES record last updated Aug 23, 2017

Key facts

NPI
1083131973
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
209016261 (IL)
Practice address
330 N Wyckles Rd
Decatur, IL 62522-1034
Phone
(217) 876-5820
Fax
(217) 421-0936
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty Group (2,123 clinicians)

Practice addresses (Care Compare)

1505 Eastland Dr
Suite 1100
Bloomington, IL 61701-7905
Phone (309) 533-7455

2200 Fort Jesse Rd
Normal, IL 61761-6286

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

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 IDStateProvider typePAC IDDetails
I20171018000313 IL Practitioner - Nurse Practitioner 4486920527 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209016261ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital Current
since Aug 13, 2024		 Accepting new patients
Saint James Hospital Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group Current
since Mar 15, 2021		 Accepting new patients
Saint James Hospital Current
since Aug 13, 2024		 Accepting new patients
Saint James Hospital Past Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations (25 of 39)

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

1505 Eastland Dr
Ste 1100
Bloomington, IL 61701
Phone (309) 663-2100

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

7601 S Cicero Ave
Ste P9A
Chicago, IL 60652
Phone (708) 907-4355

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

3679 N Vermilion St
Danville, IL 61832
Phone (217) 213-6264

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

2300 N Edward St
Ofc
Decatur, IL 62526
Phone (217) 876-8121

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1715 N Division St
Ste 4D
Morris, IL 60450

1715 N Division St
Ste 5E
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

2200 Fort Jesse Rd
Ste 100
Normal, IL 61761
Phone (309) 661-6280

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

101 W Etna Rd
Ottawa, IL 61350

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

5905 N Prospect Rd
Peoria, IL 61614

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016261 IL Yes

Addresses

Primary practice location

330 N Wyckles Rd
Decatur, IL 62522-1034

Mailing address

2300 N Edward St
Business Office
Decatur, IL 62526
Phone (217) 876-2256

Other providers in Decatur, IL

All providers in Decatur, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.