Individual provider Active NPI

Brenna Louise Schluter, A.P.N.

  • Adult Health Nurse Practitioner
  • Gibson City, IL
National Provider Identifier
1528345972
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209009243 Issued in IL
Practice address
1120 N Melvin St
Gibson City, IL 60936-1477
Phone
(217) 784-4297
Fax
(217) 784-4697
NPI assigned
Nov 14, 2011
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209009243 IL Primary

Addresses

Primary practice location

1120 N Melvin St
Gibson City, IL 60936-1477

Mailing address

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

Other practice location 1

705 S Dixie Hwy
Hoopeston, IL 60942-1904
Phone (217) 283-5530

Other practice location 2

1504 Patton Dr Ste 2
Mahomet, IL 61853-8126
Phone (217) 586-2633

Other practice location 3

227 N Market St
Paxton, IL 60957-1123
Phone (217) 379-4864

Other identifiers 1

IdentifierTypeStateIssuer
370647938OtherMOLINA NUMBER

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
I20120713000064 IL Practitioner - Nurse Practitioner 8628233863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

227 N Market St
Paxton, IL 60957-1123
Phone (217) 379-4864

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209009243ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association CurrentSince Apr 29, 2012 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
Gibson Community Hospital Association CurrentSince Apr 29, 2012 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

201 E 8th St
Gibson City, IL 60936
Phone (217) 727-1088

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

705 S Dixie Hwy
Hoopeston, IL 60942
Phone (217) 283-5530

1504 Patton Dr
Ste 2
Mahomet, IL 61853
Phone (217) 586-2633

227 N Market St
Paxton, IL 60957
Phone (217) 379-4864

Interoperability endpoints

  • Direct secure messaging: brenna.schluter.p24@direct.gapho.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1528345972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4297",
            "fax_number": "217-784-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Hoopeston",
            "state": "IL",
            "postal_code": "609421904",
            "country_code": "US",
            "telephone_number": "217-283-5530",
            "fax_number": "217-283-6437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Patton Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mahomet",
            "state": "IL",
            "postal_code": "618538126",
            "country_code": "US",
            "telephone_number": "217-586-2633",
            "fax_number": "217-590-0272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 N Market St",
            "address_purpose": "LOCATION",
            "city": "Paxton",
            "state": "IL",
            "postal_code": "609571123",
            "country_code": "US",
            "telephone_number": "217-379-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLUTER",
        "first_name": "BRENNA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2024-02-27",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA NUMBER",
            "identifier": "370647938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibson City, IL

Sources for this page

Verify at the official NPI Registry.