Staci Lynne Circello, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.020279 Issued in IL

Practice address

600 N College Ave
Geneseo, IL 61254-1099

Phone

(309) 944-9160

NPI assigned

Oct 25, 2019

Last updated

Oct 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hammond Henry Dist HospitalGroup PAC ID 0143115949, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hammond Henry Dist Hospital

  dba Hammond Henry Hospital Medical Group

  • Rural Health Clinic/Center
  • Kewanee, IL
  • NPI 1629517313
  Medicare reassignment Care Compare group NPD
• Hammond Henry Dist Hospital

  dba Hammond Henry Hospital

  • Critical Access Hospital
  • Geneseo, IL
  • NPI 1457344491
  Medicare reassignment
• Hammond Henry Dist Hospital

  dba Regional Health Partners

  • Rural Health Clinic/Center
  • Wyoming, IL
  • NPI 1437698123
  NPD

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

• Hammond Henry Dist Hospital

  dba Hammond Henry Hospital

  • Critical Access Hospital
  • Geneseo, IL
  • NPI 1457344491
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1164065801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541099",
            "telephone_number": "309-944-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541099",
            "telephone_number": "309-944-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCELLO",
        "first_name": "STACI",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara M Birks, D.C.
• Sidney Bomkamp
• William A Bordwell, O.D.
• Melinda Brown
• Bobby J Cain, RDN
• Linda T Claeys, D.C.
• Jill Clong, NP-C
• Mylee Cole
• Brittany Courson
• Seth Thomas Daniels, DMD

• Family Nurse Practitioner in Geneseo, IL
• Providers in Geneseo, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.