Individual provider Active NPI

David Orin Cherry

  • Family Nurse Practitioner
  • Bourbonnais, IL
National Provider Identifier
1427737659
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028218 Issued in IL
Practice address
662 N Convent St
Bourbonnais, IL 60914-1332
Phone
(815) 802-0088
Fax
(815) 935-1000
NPI assigned
Jul 14, 2023
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209028218 IL Primary
Emergency Registered Nurse 163WE0003X 041.402556 IL

Addresses

Primary practice location

662 N Convent St
Bourbonnais, IL 60914-1332

Mailing address

662 N Convent St
Bourbonnais, IL 60914-1332
Phone (815) 802-0088

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
I20231019001477 IL Practitioner - Nurse Practitioner 8921454430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Vituity - Illinois Auc LLPGroup PAC ID 0547516932, 35 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.402556ILMDEmergency Registered Nurse
209028218ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity - Illinois Auc LLP CurrentSince Aug 1, 2025 Accepting new patients
Riverside Health System CurrentSince Oct 12, 2023 Accepting new patients
Riverside Health System CurrentSince Oct 12, 2023 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Aug 1, 2025 Accepting new patients
Cepamerica Illinois LLP CurrentSince Aug 1, 2025 Accepting new patients
Cepamerica Illinois LLP CurrentSince Aug 1, 2025 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
First Care Family Clinic, S.C. Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

662 N Convent St
Bourbonnais, IL 60914
Phone (815) 802-0088

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

375 N Wall St
Kankakee, IL 60901
Phone (815) 401-4603

500 N Wall St
Kankakee, IL 60901
Phone (815) 937-9300

380 W North St
Manhattan, IL 60442
Phone (815) 478-4975

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Organizations & group practices 8

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 3

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1427737659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141332",
            "telephone_number": "815-802-0088",
            "fax_number": "815-935-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141332",
            "telephone_number": "815-802-0088",
            "fax_number": "815-935-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "DAVID",
        "middle_name": "ORIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028218",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "041.402556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.