Individual provider Active NPI

Courtney Mehochko, APRN

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1114809258
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032779 Issued in IL
Practice address
2950 S 6TH St
Springfield, IL 62703-5904
Phone
(217) 588-2600
Fax
(447) 784-9724
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 209032779 IL Primary

Addresses

Primary practice location

2950 S 6TH St
Springfield, IL 62703-5904

Mailing address

2950 S 6TH St
Springfield, IL 62703-5904
Phone (217) 588-2600

Other identifiers 1

IdentifierTypeStateIssuer
041304969OtherILRN LICENSE

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
I20250819001059 IL Practitioner - Nurse Practitioner 2860991643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

2950 S 6TH St
Springfield, IL 62703-5904
Phone (217) 588-7450

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209032779ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Physician Services Current Accepting new patients
Memorial Physician Services Nurse Practitioner CurrentSince Aug 18, 2025 Accepting new patients
Memorial Physician Services CurrentSince Aug 18, 2025 Accepting new patients
Family Medical Center of Chatham, LLC Nurse Practitioner Current Accepting new patients
Memorial Expresscare, LLC Nurse Practitioner Past Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

901 W Morton Ave
Ste 22
Jacksonville, IL 62650
Phone (217) 588-6140

2950 S 6th St
Springfield, IL 62703
Phone (217) 588-7450

3132 Old Jacksonville Rd
Ste 200
Springfield, IL 62704
Phone (217) 862-0800

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 1

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1114809258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035904",
            "telephone_number": "217-588-2600",
            "fax_number": "447-784-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035904",
            "telephone_number": "217-588-2600",
            "fax_number": "447-784-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHOCHKO",
        "first_name": "COURTNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041304969",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.