Individual provider Active NPI

Cassie L Miscevic, APRN, CNP

  • Family Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1437035516
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032958 Issued in IL
Practice address
1505 Eastland Dr Ste 1000
Bloomington, IL 61701-7905
Phone
(309) 661-6270
NPI assigned
Aug 13, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 209032958 IL Primary
Occupational Health Nurse Practitioner 363LX0106X 209.032958 IL

Addresses

Primary practice location

1505 Eastland Dr Ste 1000
Bloomington, IL 61701-7905

Mailing address

427 N Woodland Ave
Oglesby, IL 61348-1175
Phone (815) 252-9900

Other practice location 1

100 Delaney Dr
El Paso, IL 61738-1873
Phone (309) 661-6270

Other names 1

  • Cassie L Rodriquez Former name

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
I20250902000429 IL Practitioner - Nurse Practitioner 3072014935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 SW Adams St
Peoria, IL 61602-1308

1505 Eastland Dr
Suite 1000
Bloomington, IL 61701-7905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.032958ILMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Aug 21, 2025 Accepting new patients
Saint James Hospital CurrentSince Aug 21, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 21, 2025 Accepting new patients

Locations

1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100

1505 Eastland Dr
Ste 1000
Bloomington, IL 61701
Phone (309) 661-6270

100 Delaney Dr
El Paso, IL 61738
Phone (309) 527-2260

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

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1437035516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N WOODLAND AVE",
            "city": "OGLESBY",
            "state": "IL",
            "postal_code": "613481175",
            "telephone_number": "815-252-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 1000",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017905",
            "telephone_number": "309-661-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Delaney Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "IL",
            "postal_code": "617381873",
            "country_code": "US",
            "telephone_number": "309-661-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISCEVIC",
        "first_name": "CASSIE",
        "middle_name": "L",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032958",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "IL",
            "license": "209.032958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "RODRIQUEZ",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.