Individual provider Active NPI

Laura Devous, FNP

  • Nurse Practitioner
  • Eldorado, IL
National Provider Identifier
1164878229
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209014271 Issued in IL
Practice address
1405 Locust St
Eldorado, IL 62930-1629
Phone
(618) 273-3321
Fax
(618) 273-3322
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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 209014271 IL Primary

Addresses

Primary practice location

1405 Locust St
Eldorado, IL 62930-1629

Mailing address

429 S Welver St
Ridgway, IL 62979-1403
Phone (618) 313-2023

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
I20161114001566 IL Practitioner - Nurse Practitioner 1052690195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1112 Oak St
Carmi, IL 62821-1344
Phone (618) 382-5030

611 S Marshall Ave
MC Leansboro, IL 62859-1213
Phone (618) 643-2361

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Memorial Hospital District CurrentSince Apr 23, 2017 Accepting new patients
Hamilton Memorial Hospital District CurrentSince Apr 23, 2017 Accepting new patients
Hamilton Memorial Hospital District Past Accepting new patients

Locations

1112 Oak St
Carmi, IL 62821
Phone (217) 732-9651

1112 Oak St
Ste 102
Carmi, IL 62821
Phone (618) 382-5030

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/hamilto-2525a05c
  • Direct secure messaging: ldevous427868@direct-ehr-ssmhc.com

Organizations & group practices 3

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 8

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1164878229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S WELVER ST",
            "city": "RIDGWAY",
            "state": "IL",
            "postal_code": "629791403",
            "telephone_number": "618-313-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LOCUST ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301629",
            "telephone_number": "618-273-3321",
            "fax_number": "618-273-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOUS",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldorado, IL

Sources for this page

Verify at the official NPI Registry.