Emily E Feenstra, APRN
Individual provider Active NPI Family Nurse Practitioner · Pittsfield, IL
NPI 1497427645 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1497427645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209024138 (IL)
- Practice address
- 640 W Washington St
Pittsfield, IL 62363-1350 - Phone
- (217) 285-9447
- Fax
- (217) 285-9448
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Blessingcare Corporation
Practice addresses (Care Compare)
640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 223-8400
Hospital & facility affiliations
- Illini Community Hospital
- Blessing Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220225002317 | IL | Practitioner - Nurse Practitioner | 8123412608 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041385598 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessingcare Corporation | Current |
Accepting new patients | |
| Blessingcare Corporation | Current | Accepting new patients | |
| Blessingcare Corporation | Past | Accepting new patients |
Locations
640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113
1005 Broadway St
Quincy, IL 62301
Interoperability endpoints
- emilyfeenstra@bcs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041385598 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209024138 | IL | Yes |
Addresses
Primary practice location
640 W Washington St
Pittsfield, IL 62363-1350
Mailing address
640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 285-9447
Other practice location 1
15463 383rd St
Pleasant Hill, IL 62366-2337
Phone (217) 779-6694
Other providers in Pittsfield, IL
- Tara Renee Dolbeare
- Riley James Donohoe
- Donna Dunn
- Eastside Rehabilitation & Health Care Center LLC
- Francisco Silveira Escobar
- Foot and Ankle Associates of Central Illinois LLC
- David Stewart Glasgow
- James A. Grote
- Kaydianne Grote
- Bethany Guggenheim
All providers in Pittsfield, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.