Individual provider Active NPI

Tianna Elaine Marie Roig, APN

  • Family Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1154930436
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021600 Issued in IL
Practice address
2200 E Washington St
Bloomington, IL 61701-4364
Phone
(309) 662-3311
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.021600 IL
Family Nurse Practitioner 363LF0000X 209021600 IL Primary

Addresses

Primary practice location

2200 E Washington St
Bloomington, IL 61701-4364

Mailing address

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

Other names 1

  • Tianna Elaine Marie Nicholas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tianna.E.Nicholas@osfhealthcare.org Direct

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
I20200930002657 IL Practitioner - Nurse Practitioner 4789003336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint James HospitalGroup PAC ID 0648187252, 74 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

111 Spring St
FL 4
Streator, IL 61364-3332
Phone (815) 672-4587

1505 Eastland Dr
320 Crtca Plmnry SLP Med
Bloomington, IL 61701-7912
Phone (309) 661-2368

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.021600ILMDNurse Practitioner
209021600ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Sep 10, 2020 Accepting new patients
Saint James Hospital CurrentSince Jun 30, 2025 Accepting new patients
Saint James Hospital CurrentSince Jun 30, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital Past Accepting new patients

Locations (25 of 28)

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

2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111

1505 Eastland Dr
Ste 320
Bloomington, IL 61701
Phone (309) 661-2368

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

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

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 5E
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

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

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

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

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

5905 N Prospect Rd
Peoria, IL 61614

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

3626 N Sheridan Rd
Peoria, IL 61604

10408 N Centerway Dr
Ste C
Peoria, IL 61615

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5209 W War Memorial Dr
Peoria, IL 61615

Interoperability endpoints

  • Direct secure messaging: tianna.e.nicholas@osfhealthcare.org

Organizations & group practices 5

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.

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1154930436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014364",
            "telephone_number": "309-662-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014364",
            "telephone_number": "309-662-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROIG",
        "first_name": "TIANNA",
        "middle_name": "ELAINE MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.021600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tianna.E.Nicholas@osfhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "OSF email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Employee Email",
            "address_1": "2200 E Washington St",
            "city": "Bloomington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617014364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIANNA",
            "last_name": "NICHOLAS",
            "middle_name": "ELAINE MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.