Individual provider Active NPI

Hannah Burich, CNP

  • Family Nurse Practitioner
  • Mattoon, IL
National Provider Identifier
1225787070
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209024931 Issued in IL
Practice address
2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200
Phone
(217) 258-7590
Fax
(217) 258-3686
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 209024931 IL
Family Nurse Practitioner 363LF0000X 209024931 IL Primary

Addresses

Primary practice location

2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200

Mailing address

611 W Park St
Urbana, IL 61801-2529

Other practice location 1

200 Richmond Ave E Ste 2
Mattoon, IL 61938-4652
Phone (217) 234-7000

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
I20220531002595 IL Practitioner - Nurse Practitioner 6800274036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

200 Richmond Ave E
Suite 2
Mattoon, IL 61938-4652
Phone (217) 234-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209024931ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital CurrentSince May 16, 2022 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 13, 2025 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince May 16, 2022 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Carle Health Care Incorporated CurrentSince May 16, 2022 Accepting new patients
Sarah Bush Lincoln Health Center Nurse Practitioner CurrentSince Jan 13, 2025 Accepting new patients

Locations

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

200 Richmond Ave E
Ste 2
Mattoon, IL 61938
Phone (217) 234-7000

2512 Hurst Dr
Ste 120
Mattoon, IL 61938
Phone (217) 258-5900

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

2512 Hurst Dr
Ste 130
Mattoon, IL 61938
Phone (217) 258-5900

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: hburichaprn347728@carlehiedirect.net

Organizations & group practices 7

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1225787070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 HURST DR STE 120",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389200",
            "telephone_number": "217-258-7590",
            "fax_number": "217-258-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Richmond Ave E Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384652",
            "country_code": "US",
            "telephone_number": "217-234-7000",
            "fax_number": "217-238-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURICH",
        "first_name": "HANNAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.