Active NPI
Danielle M Loftus, DNP, APRN, FNP-BC
- Nurse Practitioner
- East Saint Louis, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209019704
- Practice address
- 2001 State St
East Saint Louis, IL 62205-1803 - Phone
- (618) 271-0204
- NPI assigned
- Nov 4, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209019704 | IL | Primary |
Addresses
Primary practice location
2001 State St
East Saint Louis, IL 62205-1803
Mailing address
2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-0204
Other practice location 1
601 James R Thompson Blvd Ste 2015
East Saint Louis, IL 62201-1118
Phone (618) 482-6959
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | danielle.loftus.1@9559.direct.athenahealth.com | Direct | Southern Illinois Healthcare Foundation, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Illinois Healthcare Foundation Inc
Practice addresses (Care Compare)
2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209019704 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical Group, LLC | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Nurse Practitioner | Past | Accepting new patients |
| Central Illinois Radiological Associates, LTD. | Past | Accepting new patients |
Locations
159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380
1103 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-2273
6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740
2001 State St
East St Louis, IL 62205
Phone (618) 271-0204
3417 Anderson Healthcare Dr
Ste 200
Edwardsville, IL 62025
Phone (618) 288-8500
3417 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-4929
6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405
108 W US Highway 40
Troy, IL 62294
Phone (618) 391-5065
Interoperability endpoints
- danielle.loftus.1@9559.direct.athenahealth.com
Organizations & group practices 6
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.
-
- General Practice Physician
- Maryville, IL
- NPI 1700807716
-
- Federally Qualified Health Center (FQHC)
- Centreville, IL
- NPI 1609813500
-
- Allergy Physician
- Saint Louis, MO
- NPI 1417034695
-
- Federally Qualified Health Center (FQHC)
- Waterloo, IL
- NPI 1821813247
-
- Nurse Practitioner
- East Saint Louis, IL
- NPI 1104230168
-
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1518501451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 STATE ST",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622051803",
"telephone_number": "618-271-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 STATE ST",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622051803",
"telephone_number": "618-271-0204"
}
],
"practiceLocations": [
{
"address_1": "601 James R Thompson Blvd Ste 2015",
"address_purpose": "LOCATION",
"city": "East Saint Louis",
"state": "IL",
"postal_code": "622011118",
"country_code": "US",
"telephone_number": "618-482-6959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOFTUS",
"first_name": "DANIELLE",
"middle_name": "M",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209019704",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "danielle.loftus.1@9559.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Southern Illinois Healthcare Foundation, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2001 State St",
"city": "East Saint Louis",
"state": "IL",
"country_code": "US",
"postal_code": "622051803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Saint Louis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.