Individual provider Active NPI

Julianne Tomac, DNP, FNP-C

  • Family Nurse Practitioner
  • O Fallon, IL
National Provider Identifier
1245018944
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023037611 Issued in MO
Practice address
321 Regency Park Ste 100
O Fallon, IL 62269-1887
Phone
(618) 416-7970
Fax
(618) 416-7971
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023037611 MO Primary

Addresses

Primary practice location

321 Regency Park Ste 100
O Fallon, IL 62269-1887

Mailing address

PO Box 25228
Decatur, IL 62525-5228
Phone (217) 329-3232

Other practice location 1

2227 Vadalabene Dr
Maryville, IL 62062-5823
Phone (618) 288-1140

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
I20231120001432 IL Practitioner - Nurse Practitioner 9537517206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

321 Regency Park
Suite 100
O Fallon, IL 62269-1887
Phone (618) 416-7970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023037611MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Specialists Services-Illinois LLC CurrentSince Oct 16, 2023 Accepting new patients
Mercy Clinic Surgical Specialists-Illinois LLC CurrentSince Oct 16, 2023 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Sep 16, 2024 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C. CurrentSince Sep 16, 2024 Accepting new patients

Locations

9515 Holy Cross Ln
Ste 6
Breese, IL 62230
Phone (618) 416-7970

210 W McKinley Ave
Ste 1
Decatur, IL 62526
Phone (217) 876-6600

210 W McKinley Ave
#1
Decatur, IL 62526
Phone (217) 877-9442

200 Health Care Dr
Ste 1501
Greenville, IL 62246
Phone (618) 664-9830

12860 Troxler Ave
Ste 135
Highland, IL 62249
Phone (618) 235-3687

2227 Vadalabene Dr
Ste 200
Maryville, IL 62062
Phone (618) 288-1140

321 Regency Park
Ste 100
O Fallon, IL 62269
Phone (618) 416-7970

Organizations & group practices 4

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 5

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1245018944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25228",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625255228",
            "telephone_number": "217-329-3232",
            "fax_number": "217-329-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 REGENCY PARK STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691887",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 Vadalabene Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620625823",
            "country_code": "US",
            "telephone_number": "618-288-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMAC",
        "first_name": "JULIANNE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023037611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.