Individual provider Active NPI

Taylor Reno, FNP-C

  • Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1366192908
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209025364 Issued in IL
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

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117001216 IL Practitioner - Nurse Practitioner 1658749965 Reassigns benefits to 3 organizations

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
Apg Network, LLCGroup PAC ID 6103264510, 18 clinicians

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

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Aug 1, 2023 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Aug 1, 2023 Accepting new patients
Metro East Healthcare Limited CurrentSince Jul 22, 2022 Accepting new patients
Apg Network LLC CurrentSince Jun 16, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.