Individual provider Active NPI

Emily Schultz Boll, FNP-C

  • Family Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1598312258
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019825 Issued in IL
Practice address
802 Park Hills Dr
Effingham, IL 62401-3122
Phone
(217) 663-2901
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 209019825 IL Primary

Addresses

Primary practice location

802 Park Hills Dr
Effingham, IL 62401-3122

Mailing address

802 Park Hills Dr
Effingham, IL 62401-3122
Phone (217) 663-2901

Other practice location 1

901 Medical Park Dr Ste 201
Effingham, IL 62401-2191
Phone (217) 342-7500

Other practice location 2

1000 Health Center Dr Ste 101
Mattoon, IL 61938-4644
Phone (217) 258-4150

Other names 1

  • Emily Elizabeth Schultz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL emmieschultz@gmail.com Direct

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
I20191105000438 IL Practitioner - Nurse Practitioner 7315279791 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
Toofan Medical Holdings, LTDGroup PAC ID 6800026006, shared by 9 NPIs, 14 clinicians

Practice addresses (Care Compare)

1001 Ave of Mid America
Suite 4
Effingham, IL 62401-4634
Phone (217) 994-9301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toofan Medical Holdings, LTD. CurrentSince Aug 28, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Nov 3, 2025 Accepting new patients
Toofan Medical Holdings, LTD CurrentSince Aug 28, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Nov 3, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

1001 Avenue of Mid America
Ste 4
Effingham, IL 62401
Phone (217) 994-9301

901 Medical Park Dr
Ste 201
Effingham, IL 62401
Phone (217) 342-7500

1001 Avenue of Mid America
Effingham, IL 62401
Phone (733) 593-1701

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1000 Health Center Dr
Ste 101
Mattoon, IL 61938
Phone (217) 258-4020

1005 Health Center Dr
Ste 101
Mattoon, IL 61938
Phone (217) 238-4774

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1510 W Springfield Rd
Ste A
Taylorville, IL 62568
Phone (217) 824-8244

Organizations & group practices 5

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.

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1598312258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 PARK HILLS DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013122",
            "telephone_number": "217-663-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 PARK HILLS DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013122",
            "telephone_number": "217-663-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Medical Park Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012191",
            "country_code": "US",
            "telephone_number": "217-342-7500",
            "fax_number": "217-342-7499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-258-4150",
            "fax_number": "217-348-2579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLL",
        "first_name": "EMILY",
        "middle_name": "SCHULTZ",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emmieschultz@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "802 Park Hills Dr",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624013122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SCHULTZ",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.