Individual provider Active NPI

Trisha Filliman, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Normal, IL
National Provider Identifier
1306238860
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277003979 Issued in IL
Practice address
1100 Beech St BLDG 10-6
Normal, IL 61761-1568
Phone
(309) 245-7115
Fax
(309) 204-8259
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 041417192 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277003979 IL Primary

Addresses

Primary practice location

1100 Beech St BLDG 10-6
Normal, IL 61761-1568

Mailing address

1100 Beech St BLDG 10-6
Normal, IL 61761-1568
Phone (309) 245-7115

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
I20181203001190 IL Practitioner - Nurse Practitioner 6406190412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041417192ILMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Oct 14, 2018 Accepting new patients
Gravity Psychiatry & Wellness PLLC CurrentSince Mar 30, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 14, 2018 Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

1100 Beech St
Bldg 10-6
Normal, IL 61761
Phone (309) 245-7115

507 E Armstrong Ave
Peoria, IL 61603
Phone (309) 681-6960

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1306238860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST BLDG 10-6",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611568",
            "telephone_number": "309-245-7115",
            "fax_number": "309-204-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST BLDG 10-6",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611568",
            "telephone_number": "309-245-7115",
            "fax_number": "309-204-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLIMAN",
        "first_name": "TRISHA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041417192",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.