Individual provider Active NPI

Kayla Marie Hnilicka, MSN, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1366949224
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017431 Issued in IL
Practice address
1701 E College Ave
Bloomington, IL 61704-2101
Phone
(309) 644-3440
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered Nurse 163WX0002X 041.390333 IL
Family Nurse Practitioner 363LF0000X 209.017431 IL Primary

Addresses

Primary practice location

1701 E College Ave
Bloomington, IL 61704-2101

Mailing address

607 Liberty Dr
East Peoria, IL 61611-5567
Phone (309) 645-3010

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
I20180521000004 IL Practitioner - Nurse Practitioner 1658636766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1701 E College Ave
Bloomington, IL 61704-2101
Phone (309) 664-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
041.390333ILMDHigh-Risk Obstetric Registered Nurse
209.017431ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Apr 25, 2018 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations (25 of 29)

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

1701 E College Ave
Bloomington, IL 61704
Phone (309) 664-3000

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

7601 S Cicero Ave
Ste P9A
Chicago, IL 60652
Phone (708) 907-4355

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1715 N Division St
Ste 4D5E
Morris, IL 60450

1715 N Division St
Ste 4D
Morris, IL 60450

1715 N Division St
Ste 5E
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

3626 N Sheridan Rd
Peoria, IL 61604

330 SW Adams St
Peoria, IL 61602
Phone (309) 402-2978

5905 N Prospect Rd
Peoria, IL 61614

5209 W War Memorial Dr
Peoria, IL 61615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1366949224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 LIBERTY DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616115567",
            "telephone_number": "309-645-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042101",
            "telephone_number": "309-644-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HNILICKA",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "IL",
            "license": "041.390333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.