Individual provider Active NPI

Marcella Alene Miner, DNP, APRN

  • Family Nurse Practitioner
  • Morrison, IL
National Provider Identifier
1528675733
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.022013 Issued in IL
Practice address
303 N Jackson St
Morrison, IL 61270-3042
Phone
(815) 772-4003
NPI assigned
Sep 30, 2020
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 209.022013 IL Primary

Addresses

Primary practice location

303 N Jackson St
Morrison, IL 61270-3042

Mailing address

202 Lakeside Dr
Erie, IL 61250-9615
Phone (309) 230-5183

Other practice location 1

600 N College Ave
Geneseo, IL 61254-1099
Phone (309) 944-6431

Other names 1

  • Marcella Alene Rebello Former name

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
I20201120000755 IL Practitioner - Nurse Practitioner 8820409998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morrison Community Hospital DistrictGroup PAC ID 2466349907, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.022013ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Community Hospital District Current Accepting new patients
Hammond Henry Dist Hospital CurrentSince Oct 15, 2020 Accepting new patients
Hammond Henry Dist Hospital Current Accepting new patients
Morrison Community Hospital District CurrentSince Oct 23, 2023 Accepting new patients
Morrison Community Hospital District Family CurrentSince Oct 23, 2023 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

600 N College Ave
Ste 210
Geneseo, IL 61254
Phone (309) 944-0245

1258 W South St
Ste 2
Kewanee, IL 61443
Phone (309) 853-3667

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

Interoperability endpoints

  • Direct secure messaging: marcellaminer@mchospital.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1528675733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LAKESIDE DR",
            "city": "ERIE",
            "state": "IL",
            "postal_code": "612509615",
            "telephone_number": "309-230-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N JACKSON ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612703042",
            "telephone_number": "815-772-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "IL",
            "postal_code": "612541099",
            "country_code": "US",
            "telephone_number": "309-944-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "MARCELLA",
        "middle_name": "ALENE",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.022013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLA",
            "last_name": "REBELLO",
            "middle_name": "ALENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrison, IL

Sources for this page

Verify at the official NPI Registry.