Individual provider Active NPI

Eric Johann Judd II, APRN-FPA, CNM

  • Nurse Practitioner
  • Morton, IL
National Provider Identifier
1407474018
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277.002722 Issued in IL
Practice address
901 Detroit CT # 5258
Morton, IL 61550-3700
Phone
(309) 300-0834
Fax
(309) 320-5471
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277.002722 IL Primary
Advanced Practice Midwife 367A00000X 277002722 IL

Addresses

Primary practice location

901 Detroit CT # 5258
Morton, IL 61550-3700

Mailing address

901 Detroit CT # 5258
Morton, IL 61550-3700
Phone (309) 300-0834

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
I20251016001381 IL Practitioner - Nurse Practitioner 3870919731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1608 Indigo Dr
Morton, IL 61550-3147

PO Box
Medford, OR 97501

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.002722ILMDNurse Practitioner
277002722ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Femmecare Health & Wellness Nurse Practitioner CurrentSince Dec 14, 2025 Accepting new patients

Locations

901 Detroit Ave
#525
Morton, IL 61550

Organizations & group practices 1

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1407474018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DETROIT CT # 5258",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615503700",
            "telephone_number": "309-300-0834",
            "fax_number": "309-320-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DETROIT CT # 5258",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615503700",
            "telephone_number": "309-300-0834",
            "fax_number": "309-320-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "ERIC",
        "middle_name": "JOHANN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "APRN-FPA, CNM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277.002722",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "277002722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

Verify at the official NPI Registry.