Individual provider Active NPI

Emily A Artime, PA

  • Physician Assistant
  • Decatur, IL
National Provider Identifier
1255560629
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085003477 Issued in IL
Practice address
1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone
(217) 329-1000
Fax
(217) 329-1055
NPI assigned
Jul 7, 2009
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085003477 IL Primary

Addresses

Primary practice location

1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800

Mailing address

1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone (217) 329-1000

Other practice location 1

845 S Route 51
Forsyth, IL 62535-9809
Phone (217) 875-0953

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eartime167913@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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
I20090923000215 IL Practitioner - Physician Assistant 3577619121 Reassigns benefits to 3 organizations
I20220527001478 FL Practitioner - Physician Assistant 3577619121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Prairie, Inc CurrentSince Dec 1, 2014 Accepting new patients
SJL Health Systems Inc CurrentSince Dec 1, 2014 Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 16, 2024 Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 16, 2024 Accepting new patients
Decatur Emergency Medical Services II S C Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

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

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

2300 N Edward St
Fl 4
Decatur, IL 62526
Phone (217) 876-4360

845 S Route 51
Forsyth, IL 62535
Phone (217) 872-0953

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

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

Interoperability endpoints

  • Direct secure messaging: eartime167913@ewd.direct.hshs.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1255560629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR STE 105",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213800",
            "telephone_number": "217-329-1000",
            "fax_number": "217-329-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR STE 105",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213800",
            "telephone_number": "217-329-1000",
            "fax_number": "217-329-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 S Route 51",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "IL",
            "postal_code": "625359809",
            "country_code": "US",
            "telephone_number": "217-875-0953",
            "fax_number": "217-872-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARTIME",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eartime167913@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1770 E Lake Shore Dr Ste 105",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625213800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.