Individual provider Active NPI

Cynthia Salazar, APN

  • Family Nurse Practitioner
  • Spring Valley, IL
National Provider Identifier
1477010031
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018638 Issued in IL
Practice address
415 E 2ND St
Spring Valley, IL 61362-1517
Phone
(815) 221-1340
Fax
(309) 308-5095
NPI assigned
Mar 1, 2019
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 209018638 IL Primary

Addresses

Primary practice location

415 E 2ND St
Spring Valley, IL 61362-1517

Mailing address

415 E 2ND St
Spring Valley, IL 61362-1517
Phone (815) 221-1340

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
I20190424002015 IL Practitioner - Nurse Practitioner 2264774157 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
Mendota Community HospitalGroup PAC ID 2264335777, 51 clinicians

Practice addresses (Care Compare)

1405 E 12TH St
Suite 600
Mendota, IL 61342-9012
Phone (815) 538-7200

1640 1St Ave
Ottawa, IL 61350-9214
Phone (815) 431-9208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendota Community Hospital CurrentSince Jul 1, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Oct 6, 2024 Accepting new patients
Mendota Community Hospital CurrentSince Jul 1, 2023 Accepting new patients
Osf Healthcare System CurrentSince Apr 26, 2025 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Oct 6, 2024 Accepting new patients
Osf Healthcare System CurrentSince Apr 26, 2025 Accepting new patients
Mendota Community Hospital Past Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients
Osf Healthcare System Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

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

1405 E 12th St
Ste 600
Mendota, IL 61342
Phone (815) 538-7200

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

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1200 Starfire Dr
Ottawa, IL 61350
Phone (815) 434-9999

1640 1st Ave
Ottawa, IL 61350
Phone (815) 431-9208

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

415 E 2nd St
Spring Valley, IL 61362
Phone (815) 221-1340

Organizations & group practices 10

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1477010031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 2ND ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621517",
            "telephone_number": "815-221-1340",
            "fax_number": "309-308-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 2ND ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621517",
            "telephone_number": "815-221-1340",
            "fax_number": "309-308-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "CYNTHIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.