Individual provider Active NPI

Elisabeth Gail Beyer-Nolen, M.D.

  • Obstetrics & Gynecology Physician
  • Marion, IL
National Provider Identifier
1306853684
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036115723 Issued in IL
Practice address
3408 Office Park Dr
Marion, IL 62959-6477
Phone
(618) 997-5266
Fax
(618) 997-5285
NPI assigned
Aug 1, 2006
Last updated
Dec 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036115723 IL Primary

Addresses

Primary practice location

3408 Office Park Dr
Marion, IL 62959-6477

Mailing address

3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060913000293 IL Practitioner - Obstetrics/Gynecology 7618971284 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Women's Healthcare LTDGroup PAC ID 1759270648, 29 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266

6 Park PL
Swansea, IL 62226-2966
Phone (618) 997-5266

812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

900 E Walnut St
Suite 10
Carbondale, IL 62901-3132
Phone (618) 997-5266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women's Healthcare LTD CurrentSince Sep 1, 2005 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 2, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Obstetrics & Gynecology CurrentSince Jan 29, 2010 Accepting new patients
Heartland Women's Healthcare LTD Obstetrics & Gynecology CurrentSince Aug 21, 2006 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 2, 2022 Accepting new patients
Heartland Women's Healthcare Il PC Obstetrics & Gynecology Past Accepting new patients

Locations

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

405 W Jackson St
Carbondale, IL 62901

900 E Walnut St
Ste 10
Carbondale, IL 62901

811 Fairfax St
Carlyle, IL 62231
Phone (618) 594-3025

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

3408 Office Park Dr
Marion, IL 62959
Phone (318) 997-5266

1407 McPherson Ave
Mount Vernon, IL 62864
Phone (618) 244-1178

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

3130 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (708) 736-1727

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

6 Park Pl
Swansea, IL 62226
Phone (618) 233-0522

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

Interoperability endpoints

  • Direct secure messaging: ebeyernolen81944@direct-ehr-ssmhc.com
  • Direct secure messaging: elisabeth.beyer-nolen.1@21608.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16208/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1306853684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER-NOLEN",
        "first_name": "ELISABETH",
        "middle_name": "GAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036115723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.