Individual provider Active NPI

Danielle M Loftus, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • East Saint Louis, IL
National Provider Identifier
1518501451
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209019704 Issued in IL
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

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200320001139 IL Practitioner - Nurse Practitioner 4880022102 Reassigns benefits to 2 organizations
I20200429002368 MO Practitioner - Nurse Practitioner 4880022102 Reassigns benefits to 1 organization

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 IncGroup PAC ID 1456256874, shared by 35 NPIs, 117 clinicians

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

LicenseStateTypeSpecialty
209019704ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jul 11, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jul 11, 2024 Accepting new patients
Board of Trustees of Southern Illinois University Nurse Practitioner PastSince Jul 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.