Active NPI
Diane Marie Craig, FNP-BC
- Family Nurse Practitioner
- Yorkville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209014667
- Practice address
- 2011 Raintree Rd
Yorkville, IL 60560-8902 - Phone
- (630) 335-1867
- NPI assigned
- Sep 7, 2016
- Last updated
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Ketchikan Indian Corporation | Current | 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
- diane.craig.p1@direct.alegiscare.nextgenshare.com
- 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.
-
dba KIC Tribal Health Clinic
- Primary Care Clinic/Center
- Ketchikan, AK
- NPI 1821120486
TX
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
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
- County of Kendall (Kendall County Health Department)
- County of Kendall (Kendall County Health Department)
- County of Kendall (Kendall County Health Department)
- Laurie Ann Cox, LCPC, LMT, CADC
- Caitlyn Coyne
- Melissa S Creamer, MA
- Crossroads Counseling Services, PLLC
- Lauren Lynn Crowl, B.S.N., R.N.
- Tamara Curry, LCSW
- Theresa Ann Czepiel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.