Individual provider Active NPI

Suzette Ann Astell-Richardson, APRN

  • Family Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1326549387
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017200 Issued in IL
Practice address
201 N Randolph St
Champaign, IL 61820-3935
Phone
(877) 726-6494
Fax
(630) 364-5741
NPI assigned
Feb 26, 2018
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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 209017200 IL Primary

Addresses

Primary practice location

201 N Randolph St
Champaign, IL 61820-3935

Mailing address

1802 N Gilbert St
Danville, IL 61832-2238
Phone (217) 304-6321

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
I20180921001085 IL Practitioner - Nurse Practitioner 5890046353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209017200ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Home Medical Group PLLC CurrentSince Aug 10, 2018 Accepting new patients
Transitions Hospice Central Illinois, LLC Family Medicine PastSince Oct 24, 2021 Accepting new patients
Everside Health-Danville Logan Avenue Past Accepting new patients
Renal Research Institute, LLC Past Accepting new patients
Renal Research Institute, LLC PastSince Aug 28, 2021 Accepting new patients

Locations

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

Organizations & group practices 5

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1326549387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N GILBERT ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618322238",
            "telephone_number": "217-304-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RANDOLPH ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203935",
            "telephone_number": "877-726-6494",
            "fax_number": "630-364-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTELL-RICHARDSON",
        "first_name": "SUZETTE",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.