Individual provider Active NPI

Ashley Beane, APN

  • Family Nurse Practitioner
  • Manteno, IL
National Provider Identifier
1467808089
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014270 Issued in IL
Practice address
501 S Locust St
Manteno, IL 60950-1654
Phone
(815) 468-6737
NPI assigned
May 12, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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 209014270 IL Primary

Addresses

Primary practice location

501 S Locust St
Manteno, IL 60950-1654

Mailing address

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440-4707
Phone (630) 914-2468

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
I20160901001261 IL Practitioner - Nurse Practitioner 7315233251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

100 Provena Way
Suite 103
Bourbonnais, IL 60914-4797
Phone (815) 937-8780

501 S Locust St
Manteno, IL 60950-1654
Phone (815) 468-6737

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

656 N Convent St
Ste C
Bourbonnais, IL 60914
Phone (815) 936-5167

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

455 W Court St
Ste 400
Kankakee, IL 60901
Phone (630) 324-7915

501 S Locust St
Manteno, IL 60950
Phone (815) 468-2015

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1467808089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404707",
            "telephone_number": "630-914-2468",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LOCUST ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501654",
            "telephone_number": "815-468-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANE",
        "first_name": "ASHLEY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteno, IL

Sources for this page

Verify at the official NPI Registry.