Individual provider Active NPI

Casey Eichenauer, NP

  • Family Nurse Practitioner
  • Decatur, IL
National Provider Identifier
1083131973
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016261 Issued in IL
Practice address
330 N Wyckles Rd
Decatur, IL 62522-1034
Phone
(217) 876-5820
Fax
(217) 421-0936
NPI assigned
Aug 23, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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 209016261 IL Primary

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

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
I20171018000313 IL Practitioner - Nurse Practitioner 4486920527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209016261ILMDFamily Nurse Practitioner

Practice roles

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

Locations (25 of 39)

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

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

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

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

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

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

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

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

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

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

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

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

10408 N Centerway Dr
Ste C
Peoria, IL 61615

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1083131973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "address_2": "BUSINESS OFFICE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-876-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WYCKLES RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625221034",
            "telephone_number": "217-876-5820",
            "fax_number": "217-421-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENAUER",
        "first_name": "CASEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.