Individual provider Active NPI

Nathalie Dieudonne, ACNP-BC

  • Acute Care Nurse Practitioner
  • Urbana, IL
National Provider Identifier
1235413972
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209015960 Issued in IL
Practice address
611 W. Park St.
Critical Care
Urbana, IL 61801-2500
Phone
(217) 383-3087
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP011625 PA
Acute Care Nurse Practitioner 363LA2100X 5008477 NC
Acute Care Nurse Practitioner 363LA2100X 209015960 IL Primary

Addresses

Primary practice location

611 W. Park St.
Critical Care
Urbana, IL 61801-2500

Mailing address

611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6941

Other practice location 1

800 E Carpenter St
Springfield, IL 62769-2500
Phone (217) 544-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170816003246 IL Practitioner - Nurse Practitioner 9739478231 Reassigns benefits to 7 organizations
I20220331000934 PA Practitioner - Nurse Practitioner 9739478231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1505 Eastland Dr
Bloomington, IL 61701-3534
Phone (309) 662-5506

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209015960ILMDAcute Care Nurse Practitioner
5008477NCMDAcute Care Nurse Practitioner
SP011625PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital Current Accepting new patients
Trinity Medical Staffing LLC CurrentSince Apr 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2022 Accepting new patients
Springfield Clinic, LLP CurrentSince Mar 31, 2023 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 6, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 28, 2022 Accepting new patients
Carle Health Care Incorporated CurrentSince Jul 25, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Swedishamerican Hospital CurrentSince Oct 6, 2022 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Aug 4, 2025 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Granite City Hospitalist Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Aug 4, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 28, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

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

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

Interoperability endpoints

  • Direct secure messaging: ndieudonnenp227757@carlehiedirect.net
  • Direct secure messaging: nathalie.dieudonne.1@15486.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1235413972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "CRITICAL CARE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627692500",
            "country_code": "US",
            "telephone_number": "217-544-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEUDONNE",
        "first_name": "NATHALIE",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP011625",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5008477",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209015960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.