Individual provider Active NPI

Diane Marie Craig, FNP-BC

  • Family Nurse Practitioner
  • Yorkville, IL
National Provider Identifier
1285181149
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014667 Issued in IL
Practice address
2011 Raintree Rd
Yorkville, IL 60560-8902
Phone
(630) 335-1867
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 209014667 IL Primary

Addresses

Primary practice location

2011 Raintree Rd
Yorkville, IL 60560-8902

Mailing address

2011 Raintree Rd
Yorkville, IL 60560-8902
Phone (630) 335-1867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 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
I20190305002358 IL Practitioner - Nurse Practitioner 3173810322 Reassigns benefits to 1 organization
I20250912002471 TX Practitioner - Nurse Practitioner 3173810322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ketchikan Indian CorporationGroup PAC ID 8426043761, 13 clinicians

Practice addresses (Care Compare)

2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone (907) 228-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Mar 23, 2026 Accepting new patients
Ketchikan Indian Corporation CurrentSince May 24, 2025 Accepting new patients

Locations

2960 Tongass Ave
Ketchikan, AK 99901
Phone (907) 228-4900

1672 S Galena Ave
Dixon, IL 61021
Phone (708) 415-0267

Interoperability endpoints

  • Direct secure messaging: diane.craig.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: diane.craig.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 2

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1285181149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 RAINTREE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605608902",
            "telephone_number": "630-335-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 RAINTREE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605608902",
            "telephone_number": "630-335-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.