Active NPI
Larisa Savage, APN, CNM
- Advanced Practice Midwife
- Pekin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209025530
- Practice address
- 19 Olt Ave
Pekin, IL 61554-6214 - Phone
- (309) 680-7600
- Fax
- (309) 353-3334
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041467219 | IL | |
| Advanced Practice Midwife | 367A00000X | 209025530 | IL | Primary |
Addresses
Primary practice location
19 Olt Ave
Pekin, IL 61554-6214
Mailing address
2214 N University St
Peoria, IL 61604-3221
Phone (309) 495-8644
Other practice location 1
1800 N Knoxville Ave Ste A
Peoria, IL 61603-3005
Phone (309) 680-7600
Other practice location 2
2321 N Wisconsin Ave
Peoria, IL 61603-5613
Phone (309) 680-7600
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Medical Center of Illinois
Practice addresses (Care Compare)
5401 N Knoxville Ave
Peoria, IL 61614-5021
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041467219 | IL | MD | Registered Nurse |
| 209025530 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
19 Olt Ave
Pekin, IL 61554
Phone (309) 353-6301
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- lsavagecnm389691@carlehiedirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1477287183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616043221",
"telephone_number": "309-495-8644",
"fax_number": "309-681-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLT AVE",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546214",
"telephone_number": "309-680-7600",
"fax_number": "309-353-3334"
}
],
"practiceLocations": [
{
"address_1": "1800 N Knoxville Ave Ste A",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616033005",
"country_code": "US",
"telephone_number": "309-680-7600",
"fax_number": "309-495-8614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2321 N Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616035613",
"country_code": "US",
"telephone_number": "309-680-7600",
"fax_number": "309-495-8614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAVAGE",
"first_name": "LARISA",
"credential": "APN, CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041467219",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209025530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.