Active NPI
Emily L Barnewolt, FNP
- Family Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209-018701 | Other | IL | 209-018701 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Illinois
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Epss, LLC- Metro Series | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family | Current | Accepting new patients |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Epss LLC - Central Series | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Epss Peoria LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | 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.
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Rural Health Clinic/Center
- Lacon, IL
- NPI 1073484929
-
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1184595027
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1710198379
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.