Becky Prusakiewicz, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.028752 Issued in IL

Practice address

200 E Fairman Ave
Watseka, IL 60970-1644

Phone

(815) 432-7722

Fax

(815) 432-7874

NPI assigned

Jul 31, 2023

Last updated

Jul 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: becky.prusakiewicz.1@15486.direct.athenahealth.com

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.

• Iroquois Memorial Hospital and Resident Home

  • Critical Access Hospital
  • Watseka, IL
  • NPI 1629003470
  Medicare reassignment NPD
• Iroquois Memorial Hospital and Resident Home

  dba IMH Multi-Specialty Physicians

  • Clinic/Center
  • Watseka, IL
  • NPI 1790889194
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1356022578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N 7TH ST",
            "city": "KENTLAND",
            "state": "IN",
            "postal_code": "479511379",
            "telephone_number": "219-474-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E FAIRMAN AVE",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701644",
            "telephone_number": "815-432-7722",
            "fax_number": "815-432-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Kentland",
            "state": "IN",
            "postal_code": "479511379",
            "country_code": "US",
            "telephone_number": "219-474-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S Crescent St Ste B",
            "address_purpose": "LOCATION",
            "city": "Gilman",
            "state": "IL",
            "postal_code": "609381518",
            "country_code": "US",
            "telephone_number": "815-265-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 W Station St",
            "address_purpose": "LOCATION",
            "city": "Saint Anne",
            "state": "IL",
            "postal_code": "609647251",
            "country_code": "US",
            "telephone_number": "815-427-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 E Jones St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "IL",
            "postal_code": "609531046",
            "country_code": "US",
            "telephone_number": "815-889-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUSAKIEWICZ",
        "first_name": "BECKY",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028752",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28262434A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becky.prusakiewicz.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becky.prusakiewicz.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "135 W Station St",
            "city": "Saint Anne",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609647251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becky.prusakiewicz.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S Crescent St Ste B",
            "city": "Gilman",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609381518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becky.prusakiewicz.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34 E Jones St",
            "city": "Milford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609531046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becky.prusakiewicz.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 N 7th St",
            "city": "Kentland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479511379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Pillot
• Issac G. Plamoottil, M.D.
• Peter Joseph Pollachek, A.P.N.
• Michael T Potter, BA
• Lauren Prince
• Meena Purohit, M.D.
• R Villafria and Associates PC
• Kimberly Rabideau
• Bonita Jean Rajala, RN LCPC
• Mohammed M Razvi, MD

• Family Nurse Practitioner in Watseka, IL
• Providers in Watseka, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.