Individual provider Active NPI

Carrie B Finley, APN, CNP

  • Nurse Practitioner
  • Ottawa, IL
National Provider Identifier
1427531615
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018125 Issued in IL
Practice address
1209 Starfire Dr Ste 3
Ottawa, IL 61350-1688
Phone
(815) 434-2048
Fax
(815) 434-2177
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 209018125 IL Primary

Addresses

Primary practice location

1209 Starfire Dr Ste 3
Ottawa, IL 61350-1688

Mailing address

1209 Starfire Dr Ste 3
Ottawa, IL 61350-1688
Phone (815) 434-2048

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
I20181015001561 IL Practitioner - Nurse Practitioner 8628320975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
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)

661 S Peace Rd
Suite 101
Sycamore, IL 60178-1642
Phone (815) 991-3571

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209018125ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Feb 24, 2021 Accepting new patients
Mendota Community Hospital CurrentSince Sep 30, 2019 Accepting new patients
Mendota Community Hospital Nurse Practitioner CurrentSince Sep 30, 2019 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital CurrentSince Feb 24, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 26, 2018 Accepting new patients

Locations

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1209 Starfire Dr
Ste 3
Ottawa, IL 61350
Phone (815) 433-3745

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

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 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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1427531615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 STARFIRE DR STE 3",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501688",
            "telephone_number": "815-434-2048",
            "fax_number": "815-434-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 STARFIRE DR STE 3",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501688",
            "telephone_number": "815-434-2048",
            "fax_number": "815-434-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINLEY",
        "first_name": "CARRIE",
        "middle_name": "B",
        "credential": "APN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.