Eryn Analise Goetze, DNP, APRN-CNM
Individual provider Active NPI Advanced Practice Midwife · Peru, IL
NPI 1497582225 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1497582225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- Practice address
- 920 West St
Peru, IL 61354-2763 - Phone
- (815) 431-0435
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120003851 | IL | Practitioner - Certified Nurse Midwife (CNM) | 6204361702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
1614 E Norris Dr
Ottawa, IL 61350
Phone (815) 433-1010
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
920 West St
Peru, IL 61354
Phone (815) 223-2143
920 West St
Ste 100
Peru, IL 61354
Phone (815) 431-0435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | IL | Yes |
Addresses
Primary practice location
920 West St
Peru, IL 61354-2763
Mailing address
920 West St
Peru, IL 61354-2763
Other providers in Peru, IL
- Rakesh K Garg
- Christine Marie Garretson
- Girlfriends, LLC
- Neelam Goel
- Ram Goel
- Michael John Grabowski
- Breann Michele Gray
- Bradley Groleau
- Timothy Paul Haas
- Hanger Prosthetics & Orthotics, Inc
All providers in Peru, IL · Advanced Practice Midwife 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 16, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.