Individual provider Active NPI

Anna M Freeman, APN

  • Family Nurse Practitioner
  • Princeton, IL
National Provider Identifier
1447437702
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209002596 Issued in IL
Practice address
535 Park Ave E
Princeton, IL 61356-2537
Phone
(815) 875-4531
NPI assigned
Jan 29, 2008
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209002596 IL Primary

Addresses

Primary practice location

535 Park Ave E
Princeton, IL 61356-2537

Mailing address

530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811

Other practice location 1

101 N Main St
Walnut, IL 61376
Phone (815) 379-2020

Other practice location 2

2128 N Main St
Princeton, IL 61356-9728
Phone (815) 875-2273

Other practice location 3

327 Edward St
Henry, IL 61537-1539
Phone (309) 364-2002

Other names 1

  • Anna M Pena Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address anna.freeman@perry.cernerdirect.com
Direct Messaging Address anna.freeman@perry.cernerdirect.com

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
I20040909001190 IL Practitioner - Nurse Practitioner 8123094174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians

Practice addresses (Care Compare)

535 Park Ave E
Princeton, IL 61356-2537
Phone (815) 875-4531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209002596ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Jul 1, 2021 Accepting new patients
Osf Healthcare System CurrentSince Jul 1, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 1, 2021 Accepting new patients

Locations

327 Edward St
Henry, IL 61537
Phone (309) 364-2002

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

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

925 West St
Peru, IL 61354
Phone (815) 223-3300

2128 N Main St
Princeton, IL 61356
Phone (815) 875-2273

530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811

535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531

Interoperability endpoints

  • Direct secure messaging: anna.freeman@perry.cernerdirect.com

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.

Hospital & facility affiliations 6

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1447437702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-875-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562537",
            "telephone_number": "815-875-4531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "IL",
            "postal_code": "61376",
            "country_code": "US",
            "telephone_number": "815-379-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2128 N Main St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "613569728",
            "country_code": "US",
            "telephone_number": "815-875-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Edward St",
            "address_purpose": "LOCATION",
            "city": "Henry",
            "state": "IL",
            "postal_code": "615371539",
            "country_code": "US",
            "telephone_number": "309-364-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209002596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.freeman@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "535 Park Ave E",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613562537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.freeman@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2128 N Main St",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613569728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PENA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, IL

Sources for this page

Verify at the official NPI Registry.