Individual provider Active NPI

Danielle Renee Preuss, PA-C

  • Physician Assistant
  • Coulterville, IL
National Provider Identifier
1255730479
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.006075 Issued in IL
Practice address
203 E Grant St
Coulterville, IL 62237-1623
Phone
(618) 758-2331
Fax
(618) 758-2819
NPI assigned
Aug 14, 2014
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 085.006075 IL Primary

Addresses

Primary practice location

203 E Grant St
Coulterville, IL 62237-1623

Mailing address

203 E Grant St
Coulterville, IL 62237-1623
Phone (618) 758-2331

Other practice location 1

207 S Burns Ave
Sparta, IL 62286-1857
Phone (618) 443-2290

Other names 1

  • Danielle Renee Hoffman Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cmc@spartahospital.hin.us
Direct Messaging Address nch@spartahospital.hin.us
Direct Messaging Address fhc@spartahospital.hin.us

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
I20170303001814 IL Practitioner - Physician Assistant 1557582053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

203 E Grant St
Coulterville, IL 62237-1623
Phone (618) 758-2331

205 S Burns Ave
Sparta, IL 62286-1867
Phone (618) 443-6821

207 S Burns Ave
Sparta, IL 62286-1867
Phone (618) 443-3084

211 S Burns Ave
Sparta, IL 62286-1895
Phone (618) 443-1303

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.006075ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Feb 14, 2017 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients
Ambulatory Employee Industrial Occupational and Urgent Healthcare Past Accepting new patients
Ambulatory Care Physicians at CDH, PC Past Accepting new patients

Locations

203 E Grant St
Coulterville, IL 62237
Phone (618) 758-2331

521 N Borders Ave
Ste C
Marissa, IL 62257
Phone (618) 295-1591

1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

211 S Burns Ave
Sparta, IL 62286
Phone (618) 443-1303

215 S Burns Ave
Sparta, IL 62286
Phone (618) 443-4889

9 Westwood Dr
Steeleville, IL 62288
Phone (618) 965-3466

Interoperability endpoints

  • Direct secure messaging: cmc@spartahospital.hin.us
  • Direct secure messaging: nch@spartahospital.hin.us

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1255730479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E GRANT ST",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "622371623",
            "telephone_number": "618-758-2331",
            "fax_number": "618-758-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E GRANT ST",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "622371623",
            "telephone_number": "618-758-2331",
            "fax_number": "618-758-2819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Burns Ave",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622861857",
            "country_code": "US",
            "telephone_number": "618-443-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREUSS",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmc@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "203 E Grant St",
            "city": "Coulterville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622371623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nch@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "1300 N Market St",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhc@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "207 S Burns Ave",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "HOFFMAN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coulterville, IL

Sources for this page

Verify at the official NPI Registry.