Individual provider Active NPI

Christian Elias Czech, FNP-C

  • Family Nurse Practitioner
  • O'Fallon, IL
National Provider Identifier
1366372500
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209035180 Issued in IL
Practice address
4905 Stone Falls Ctr
O Fallon, IL 62269-7802
Phone
(618) 277-0001
NPI assigned
May 20, 2026
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209035180 IL Primary

Addresses

Primary practice location

4905 Stone Falls Ctr
O Fallon, IL 62269-7802

Mailing address

4905 Stone Falls Ctr
O Fallon, IL 62269-7802
Phone (618) 277-0001

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
I20260610004286 IL Practitioner - Nurse Practitioner 3870065816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ankle and Foot Surgeons, LLCGroup PAC ID 2769530740, 6 clinicians

Practice addresses (Care Compare)

4905 Stone Fall Ctr Dr
Suite B
O'Fallon, IL 62269-7802
Phone (618) 277-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209035180ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ankle and Foot Surgeons, LLC CurrentSince May 18, 2026 Accepting new patients
Advanced Ankle and Foot Surgeons, LLC PastSince May 18, 2026 Accepting new patients

Locations

211 E Hanover St
New Baden, IL 62265
Phone (618) 588-2900

4905 Stone Falls Ctr
O Fallon, IL 62269
Phone (618) 277-0001

4905 Stone Falls Ctr
#B
O Fallon, IL 62269
Phone (618) 277-0001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1366372500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 STONE FALLS CTR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697802",
            "telephone_number": "618-277-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 STONE FALLS CTR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697802",
            "telephone_number": "618-277-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZECH",
        "first_name": "CHRISTIAN",
        "middle_name": "ELIAS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209035180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.