Individual provider Active NPI

Dorothy Jeanine Hinshaw, CNP

  • Family Nurse Practitioner
  • Mattoon, IL
National Provider Identifier
1336396811
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209003941 Issued in IL
Practice address
2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200
Phone
(217) 258-7590
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209003941 IL
Family Nurse Practitioner 363LF0000X 209003941 IL Primary
Registered Nurse 163W00000X 041226779 IL

Addresses

Primary practice location

2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200

Mailing address

611 W. Park St.
Fapc
Urbana, IL 61801-4392

Other practice location 1

2965 N Main St
Suite F
Decatur, IL 62526-4392
Phone (217) 875-7847

Other names 1

  • D Jeanine King Former name

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
I20040401001579 IL Practitioner - Nurse Practitioner 4880686443 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041226779ILMDRegistered Nurse
209003941ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Feb 19, 2019 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Apr 12, 2020 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince May 17, 2023 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Jan 28, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Apr 12, 2020 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
F.a. Wrestler M.D., LTD Past Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2300 N Edward St
Ste 3200
Decatur, IL 62526
Phone (217) 876-3660

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1610 N Lakewood Dr
Effingham, IL 62401
Phone (217) 347-7470

300 N Marietta St
Greenup, IL 62428
Phone (217) 347-5000

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1000 Palm Ave
Mattoon, IL 61938
Phone (217) 234-7403

2512 Hurst Dr
Ste 120
Mattoon, IL 61938
Phone (217) 258-5900

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

2512 Hurst Dr
Ste 130
Mattoon, IL 61938
Phone (217) 258-5900

704 E Glover St
Ottawa, IL 61350
Phone (815) 431-4900

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: dhinshawaprn61471@carlehiedirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1336396811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 HURST DR STE 120",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389200",
            "telephone_number": "217-258-7590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2965 N Main St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625264392",
            "country_code": "US",
            "telephone_number": "217-875-7847",
            "fax_number": "217-875-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINSHAW",
        "first_name": "DOROTHY",
        "middle_name": "JEANINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209003941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209003941",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041226779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D",
            "last_name": "KING",
            "middle_name": "JEANINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.