Abby Ruth Vladika, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209018454 Issued in IL

Practice address

535 Park Ave E
Princeton, IL 61356-2537

Phone

(815) 875-4531

Fax

(815) 876-2118

NPI assigned

Nov 26, 2018

Last updated

Oct 19, 2020By 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

Other identifiers 1

Electronic endpoints 2

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Osf Healthcare SystemGroup PAC ID 4284541806, shared by 34 NPIs, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• In-Home Care Connection Home Health Services Home health agency, Moline, IL, CCN 148146
• Osf Healthcare Home Care Home health agency, Loves Park, IL, CCN 147271
• Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
• Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
• Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abby.vladika@perry.cernerdirect.com

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.

• Osf Healthcare System

  dba Osf Holy Family Clinics

  • Rural Health Clinic/Center
  • Monmouth, IL
  • NPI 1679606073
  Medicare reassignment NPD
• Osf Healthcare System

  • Certified Registered Nurse Anesthetist
  • Monmouth, IL
  • NPI 1811016124
  Medicare reassignment NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment NPD
• Osf Healthcare System

  dba OSF Saint Katharine Medical Center

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590
  NPD
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Clinic/Center
  • Princeton, IL
  • NPI 1790363505
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Osf Healthcare System

  • Occupational Medicine Physician
  • Peoria, IL
  • NPI 1871039388
  NPD (past)

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

• JKCD Healthcare Consulting, LLC

  dba In-Home Care Connection Home Health Services, LLC

  • Home Health Agency
  • Moline, IL
  • NPI 1184150419
  Care Compare affiliation
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113
  Care Compare affiliation
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439
  Care Compare affiliation
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Saint Elizabeth Medical Center

  • General Acute Care Hospital
  • Peru, IL
  • NPI 1588713440
  Care Compare affiliation
• Saint Anthony Medical Center

  dba Saint Anthony Med. Ctr for Home Care

  • Home Health Agency
  • Loves Park, IL
  • NPI 1023051992
  Care Compare affiliation

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1184194813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563901",
            "telephone_number": "815-875-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562537",
            "telephone_number": "815-875-4531",
            "fax_number": "815-876-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2128 N Main St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "613569728",
            "country_code": "US",
            "telephone_number": "815-875-2273",
            "fax_number": "815-207-8682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "IL",
            "postal_code": "61376",
            "country_code": "US",
            "telephone_number": "815-379-2020",
            "fax_number": "815-379-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Edward St",
            "address_purpose": "LOCATION",
            "city": "Henry",
            "state": "IL",
            "postal_code": "615371539",
            "country_code": "US",
            "telephone_number": "309-364-2002",
            "fax_number": "309-364-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VLADIKA",
        "first_name": "ABBY",
        "middle_name": "RUTH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209018454",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abby.vladika@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "535 Park Ave E",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613562537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abby.vladika@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2128 N Main St",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613569728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy J Puhr DDS PC
• Jessica Torres, MSN, APRN, FNP-BC
• Allyx Underwood
• Allen Uyen Van, MD
• Adam Varvil, DPT
• Wal-Mart Stores, Inc (Vision Center 30-0636)
• Walmart Inc.
• Nicolas Warren
• Olivia Ann Wojcik
• Youth Service Bureau of Illinios Valley

• Family Nurse Practitioner in Princeton, IL
• Providers in Princeton, 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 19, 2020; 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.