Mara Layne Bessine, NP-C
Individual provider Active NPI Family Nurse Practitioner · Roseville, IL
NPI 1508219361 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1508219361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209014465 (IL)
- Practice address
- 235 E Penn Ave
Roseville, IL 61473-5006 - Phone
- (309) 426-2128
- Fax
- (309) 426-2455
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Healthcare System
Practice addresses (Care Compare)
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
Hospital & facility affiliations
- Osf Holy Family Medical Center
- St Mary Medical Center
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 |
|---|---|---|---|---|
| I20160808002069 | IL | Practitioner - Nurse Practitioner | 9335433721 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| St Mary Medical Center | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| St Mary Medical Center | Current |
Accepting new patients | |
| St Mary Medical Center | Past | Accepting new patients | |
| Cardinal Medical Group, LTD. | Past | Accepting new patients |
Locations
508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080
2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852
3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827
133 Spinder Dr
Ste 4015
East Peoria, IL 61611
2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400
904 E Main St
Knoxville, IL 61448
Phone (309) 289-2335
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
1715 N Division St
Ste 4D5E
Morris, IL 60450
1715 N Division St
Ste 4D
Morris, IL 60450
211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807
2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5209 W War Memorial Dr
Peoria, IL 61615
10408 N Centerway Dr
Ste C
Peoria, IL 61615
235 E Penn Ave
Roseville, IL 61473
Phone (309) 426-2128
1986 Freedom Pkwy
Ste 1
Washington, IL 61571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014465 | IL | Yes |
Addresses
Primary practice location
235 E Penn Ave
Roseville, IL 61473-5006
Mailing address
113 S Main St
Sheffield, IL 61361-9752
Phone (815) 454-2811
Other providers in Roseville, IL
- 527 Capital Group
- Tina Atherton
- Axline'S Inc.
- Daniel Edward Gall
- Angela Elliott Gibbs
- Goldwater Care Roseville LLC
- Goldwater Care Roseville LLC
- Amy B Huston III
All providers in Roseville, 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 Jul 7, 2020. 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.