Individual provider Active NPI

Abigail G Cervantes, APN

  • Women's Health Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1255700316
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.013242 Issued in IL
Practice address
1505 Eastland Dr Ste 2200
Bloomington, IL 61701-7910
Phone
(309) 454-3456
Fax
(309) 454-6977
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 209.013242 IL Primary

Addresses

Primary practice location

1505 Eastland Dr Ste 2200
Bloomington, IL 61701-7910

Mailing address

1505 Eastland Dr Ste 2200
Bloomington, IL 61701-7910
Phone (309) 454-3456

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
I20170920001629 IL Practitioner - Nurse Practitioner 8325312994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Illinois Obstetrics and Gynecology, S.C.Group PAC ID 7416126313, 6 clinicians

Practice addresses (Care Compare)

1505 Eastland Dr
Suite 2200
Bloomington, IL 61701-7910
Phone (309) 454-3456

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.013242ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Illinois Obstetrics and Gynecology, S.C. CurrentSince Jun 27, 2017 Accepting new patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Mar 11, 2026 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1505 Eastland Dr
Ste 2200
Bloomington, IL 61701
Phone (309) 454-3456

1302 Franklin Ave
Ste 2800
Normal, IL 61761
Phone (309) 268-6300

Interoperability endpoints

  • Direct secure messaging: abigail.cervantes.p1@direct.hoiobgyn.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1255700316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 2200",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017910",
            "telephone_number": "309-454-3456",
            "fax_number": "309-454-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 2200",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017910",
            "telephone_number": "309-454-3456",
            "fax_number": "309-454-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "ABIGAIL",
        "middle_name": "G",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.013242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.