Individual provider Active NPI

Yvonne Fillmore, ANP

  • Family Nurse Practitioner
  • Oquawka, IL
National Provider Identifier
1356794317
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A128192 Issued in IA
Practice address
1204 Highway 164 E
PO Box 198
Oquawka, IL 61469-6146
Phone
(309) 867-2202
NPI assigned
Jul 14, 2016
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A128192 IA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 041425493 IL

Addresses

Primary practice location

1204 Highway 164 E
PO Box 198
Oquawka, IL 61469-6146

Mailing address

PO Box 198
Oquawka, IL 61469-0198
Phone (309) 924-2414

Other practice location 1

400 Oversen Rd
Wilton, IA 52778
Phone (563) 732-2121

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
I20190909003541 IL Practitioner - Nurse Practitioner 1658664693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1204 Hwy 164 E
Oquawka, IL 61469-3204
Phone (309) 924-2414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041425493ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Rural Health Center Inc CurrentSince Aug 25, 2019 Accepting new patients
Henderson County Rural Health Center Inc Current Accepting new patients
Henderson County Rural Health Center Inc Past Accepting new patients

Locations

230 S Main St
Monmouth, IL 61462
Phone (309) 536-9024

1204 Highway 164 E
Oquawka, IL 61469
Phone (309) 924-2414

Interoperability endpoints

  • Direct secure messaging: yfillmore599042@direct.ochin.org
  • Direct secure messaging: yvonne.fillmore.p29@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 3

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1356794317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "614690198",
            "telephone_number": "309-924-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 HIGHWAY 164 E",
            "address_2": "PO BOX 198",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "614696146",
            "telephone_number": "309-867-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Oversen Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "IA",
            "postal_code": "52778",
            "country_code": "US",
            "telephone_number": "563-732-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "YVONNE",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A128192",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041425493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oquawka, IL

Sources for this page

Verify at the official NPI Registry.