Individual provider Active NPI

Emily L Barnewolt, FNP

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1508325457
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018701 Issued in IL
Practice address
221 NE Glen Oak Ave
Emergency Department
Peoria, IL 61636-0001
Phone
(309) 672-5500
Fax
(309) 672-4246
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 209018701 IL Primary

Addresses

Primary practice location

221 NE Glen Oak Ave
Emergency Department
Peoria, IL 61636-0001

Mailing address

3409 Windmill Rd
Bloomington, IL 61704-1224
Phone (309) 999-1090

Other identifiers 1

IdentifierTypeStateIssuer
209-018701OtherIL209-018701

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
I20190513000900 IL Practitioner - Nurse Practitioner 4880937986 Reassigns benefits to 7 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
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, 387 clinicians

Practice addresses (Care Compare)

221 NE Glen Oak
Peoria, IL 61636
Phone (309) 672-5522

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4281

Hospital & facility affiliations

  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois CurrentSince Apr 12, 2019 Accepting new patients
Cepamerica Illinois LLP CurrentSince Oct 1, 2023 Accepting new patients
Epss, LLC- Metro Series CurrentSince Dec 15, 2021 Accepting new patients
Methodist Medical Center of Illinois Family CurrentSince Apr 12, 2019 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 1, 2026 Accepting new patients
Epss LLC - Central Series CurrentSince Mar 2, 2025 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Epss Peoria LLC CurrentSince Mar 2, 2025 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Cepamerica Illinois LLP CurrentSince Oct 1, 2023 Accepting new patients
Methodist Medical Center of Illinois Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

6300 Ridglea Pl
Ste 201
Ft Worth, TX 76116

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1508325457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WINDMILL RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617041224",
            "telephone_number": "309-999-1090",
            "fax_number": "309-999-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616360001",
            "telephone_number": "309-672-5500",
            "fax_number": "309-672-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEWOLT",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "209-018701",
            "identifier": "209-018701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.