Individual provider Active NPI

Maria Elaine Earley, NP

  • Family Nurse Practitioner
  • Mt.Carmel, Il 62863, IL
National Provider Identifier
1386724417
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209007211 Issued in IL
Practice address
1527 College Drive
Mt.Carmel, Il 62863, IL 62863
Phone
(618) 263-6400
Fax
(618) 263-6291
NPI assigned
Oct 16, 2006
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010921A IN
Family Nurse Practitioner 363LF0000X 209007211 IL Primary
Registered Nurse First Assistant 163WR0006X 28126433A IN
Registered Nurse First Assistant 163WR0006X 041479109 IL

Addresses

Primary practice location

1527 College Drive
Mt.Carmel, Il 62863, IL 62863

Mailing address

1527 College Drive
Mt.Carmel, Il 62863, IL 62863
Phone (618) 263-6400

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
I20230912004323 IL Practitioner - Nurse Practitioner 8921415522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wabash General Hospital DistrictGroup PAC ID 8022908185, shared by 10 NPIs, 77 clinicians

Practice addresses (Care Compare)

11362 Country Club Rd
Lawrenceville, IL 62439-4325
Phone (618) 707-4360

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

1527 College Dr
Mount Carmel, IL 62863-2615
Phone (618) 263-6400

26 E Elm St
Albion, IL 62806-1211
Phone (618) 262-8621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041479109ILMDRegistered Nurse First Assistant
28126433AINMDRegistered Nurse First Assistant
209007211ILMDFamily Nurse Practitioner
71010921AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District Current Accepting new patients
Union Hospital Inc. Current Accepting new patients
Wabash General Hospital District CurrentSince Jul 1, 2023 Accepting new patients
Wabash General Hospital District CurrentSince Jul 1, 2023 Accepting new patients

Locations

26 E Elm St
Albion, IL 62806
Phone (618) 375-7101

929 Stacey Burk Dr
Flora, IL 62839

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

1525 College Dr
Mount Carmel, IL 62863
Phone (618) 263-6343

504 Micah Dr
Olney, IL 62450
Phone (618) 395-4306

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: mearley@unionhealth.cernerdirect.com

Organizations & group practices 6

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 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1386724417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 COLLEGE DRIVE",
            "city": "MT.CARMEL, IL 62863",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-263-6400",
            "fax_number": "618-263-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 COLLEGE DRIVE",
            "city": "MT.CARMEL, IL 62863",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-263-6400",
            "fax_number": "618-263-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "MARIA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010921A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007211",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IN",
            "license": "28126433A",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041479109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.