Individual provider Active NPI

Elizabeth A Saunches, APN

  • Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1104472984
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209019714 Issued in IL
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

Updated by the provider on Aug 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20190917002540 IL Practitioner - Nurse Practitioner 1850620832 Reassigns benefits to 2 organizations

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
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Saint James HospitalGroup PAC ID 0648187252, 74 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

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 Hospital, Bloomington, IL, CCN 140162
  • Saint James Hospital Hospital, Pontiac, IL, CCN 140161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209019714ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Aug 27, 2024 Accepting new patients
Saint James Hospital CurrentSince Aug 27, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 8, 2019 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.