Active NPI
Elizabeth A Saunches, APN
- Nurse Practitioner
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209019714
- Practice address
- 308 Saint Joseph Dr
Bloomington, IL 61701-3506 - Phone
- (309) 663-5050
- Fax
- (309) 662-3401
- NPI assigned
- Aug 16, 2019
- 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 | 209019714 | IL | Primary |
Addresses
Primary practice location
308 Saint Joseph Dr
Bloomington, IL 61701-3506
Mailing address
308 Saint Joseph Dr
Bloomington, IL 61701-3506
Phone (309) 663-5050
Other names 1
- Elizabeth A. Timmerman
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- St Joseph Medical Center
- Saint James Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209019714 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Saint James Hospital | Nurse Practitioner | Past | Accepting new patients |
| Cardinal Medical Group, LTD. | Past | Accepting new patients |
Locations
308 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 663-5050
1001 Rivian Mtwy
Bloomington, IL 61705
Phone (309) 828-0806
1505 Eastland Dr
Ste 1100
Bloomington, IL 61701
Phone (309) 663-2100
2200 Fort Jesse Rd
Ste 100
Normal, IL 61761
Phone (309) 661-6280
124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2500 W Reynolds St
Ste 203205206207
Pontiac, IL 61764
Phone (815) 844-2001
2500 W Reynolds St
Ste 206
Pontiac, IL 61764
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
2500 W Reynolds St
Ste 207
Pontiac, IL 61764
Phone (815) 579-9002
2500 W Reynolds St
Ste 205
Pontiac, IL 61764
2500 W Reynolds St
Ste 203
Pontiac, IL 61764
Phone (815) 844-2001
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Anesthesiology Physician
- Pontiac, IL
- NPI 1790735421
-
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Multi-Specialty Clinic/Center
- Peoria, IL
- NPI 1992829485
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1104472984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 SAINT JOSEPH DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013506",
"telephone_number": "309-663-5050",
"fax_number": "309-662-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 SAINT JOSEPH DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013506",
"telephone_number": "309-663-5050",
"fax_number": "309-662-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNCHES",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209019714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "TIMMERMAN",
"middle_name": "A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.