Active NPI
Taylor Reno, FNP-C
- Nurse Practitioner
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209025364
- Practice address
- 4550 Memorial Dr Ste 280
Belleville, IL 62226-5372 - Phone
- (618) 767-3235
- NPI assigned
- Mar 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209025364 | IL | Primary |
Addresses
Primary practice location
4550 Memorial Dr Ste 280
Belleville, IL 62226-5372
Mailing address
4550 Memorial Dr Ste 280
Belleville, IL 62226-5372
Phone (618) 767-3235
Other practice location 1
2133 Vadalabene Dr Ste 5B
Maryville, IL 62062-5839
Phone (618) 288-7605
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1181 S State Route 157
Edwardsville, IL 62025
Phone (888) 363-8333
4414 W Ctr Dr
Alton, IL 62002-5932
Phone (618) 509-8454
916 Talon Dr
O Fallon, IL 62269-1848
Phone (618) 628-8211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Metro East Healthcare Limited | Current | Accepting new patients | |
| Apg Network LLC | Current | Accepting new patients |
Locations
4414 W Center Dr
Alton, IL 62002
Phone (618) 509-8454
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4550 Memorial Dr
Ste 280
Belleville, IL 62226
Phone (618) 277-3109
1181 S State Route 157
Edwardsville, IL 62025
Phone (618) 288-4100
27 Auerbach Pl
Glen Carbon, IL 62034
Phone (618) 277-3700
2133 Vadalabene Dr
Ste 5B
Maryville, IL 62062
Phone (618) 288-7605
916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211
1414 Cross St
Ste 210
Shiloh, IL 62269
Phone (618) 607-1260
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Edwardsville, IL
- NPI 1538860200
-
- Family Medicine Physician
- Maryville, IL
- NPI 1083767479
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1366192908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR STE 280",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-767-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR STE 280",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-767-3235"
}
],
"practiceLocations": [
{
"address_1": "2133 Vadalabene Dr Ste 5B",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "IL",
"postal_code": "620625839",
"country_code": "US",
"telephone_number": "618-288-7605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENO",
"first_name": "TAYLOR",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-26",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209025364",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4550 Memorial Dr Ste 280",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622265372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.