Individual provider Active NPI

Dana Oberg, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Murphysboro, IL
National Provider Identifier
1225021322
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Practice address
415 Health Department Rd
Murphysboro, IL 62966-6108
Phone
(618) 684-3143
Fax
(618) 687-1255
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X IL Primary

Addresses

Primary practice location

415 Health Department Rd
Murphysboro, IL 62966-6108

Mailing address

613 Phillips Rd
Carbondale, IL 62902-7461
Phone (618) 457-2578

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
I20070201000354 IL Practitioner - Nurse Practitioner 2961404132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Southern Illinois OB-GYN Associates SCGroup PAC ID 2961478185, 8 clinicians

Practice addresses (Care Compare)

500 Rushing Dr
Herrin, IL 62948-3748
Phone (618) 998-8808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-000-525ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois OB-GYN Associates, S.C. CurrentSince Aug 1, 2019 Accepting new patients

Locations

305 W Jackson St
Ste 402
Carbondale, IL 62901
Phone (618) 529-4711

500 Rushing Dr
Herrin, IL 62948
Phone (618) 998-8808

Organizations & group practices 1

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 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225021322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PHILLIPS RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629027461",
            "telephone_number": "618-457-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HEALTH DEPARTMENT RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666108",
            "telephone_number": "618-684-3143",
            "fax_number": "618-687-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERG",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

Verify at the official NPI Registry.