McKenzie Regan Likes, APN-C

Individual provider Active NPI Emergency Clinical Nurse Specialist · Mt Sterling, IL

NPI 1104227677 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1104227677
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Clinical Nurse Specialist 364SE0003X
License
209.011797 (IL)
Practice address
108 West Main
Mt Sterling, IL 62353
Phone
(217) 773-6060
Fax
(217) 406-8319
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.011797ILMDEmergency Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC Past
since Jan 12, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Clinical Nurse Specialist 364SE0003X 209.011797 IL Yes

Addresses

Primary practice location

108 West Main
Mt Sterling, IL 62353

Mailing address

108 West Main
Mt Sterling, IL 62353
Phone (217) 773-6060

Other providers in Mt Sterling, IL

All providers in Mt Sterling, IL · Emergency Clinical Nurse Specialist in Illinois

Sources for this page

Verify at the official NPI Registry.