Individual provider Active NPI

Kyle Aaron Brewer, FNP-C

  • Family Nurse Practitioner
  • Bushnell, IL
National Provider Identifier
1598508665
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.030202 Issued in IL
Practice address
1150 N Cole St
Bushnell, IL 61422-9503
Phone
(309) 772-9444
Fax
(309) 772-9446
NPI assigned
Jun 17, 2024
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 209.030202 IL Primary

Addresses

Primary practice location

1150 N Cole St
Bushnell, IL 61422-9503

Mailing address

1150 N Cole St
Bushnell, IL 61422-9503
Phone (309) 772-9444

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
I20240903003235 IL Practitioner - Nurse Practitioner 3971042029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McDonough County Hospital DistrictGroup PAC ID 0446140180, shared by 11 NPIs, 42 clinicians

Practice addresses (Care Compare)

1150 N Cole St
Bushnell, IL 61422-9503
Phone (309) 772-9444

525 E Grant St
Macomb, IL 61455-3313
Phone (309) 833-6937

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.030202ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District CurrentSince Aug 5, 2024 Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District CurrentSince Aug 5, 2024 Accepting new patients
McDonough County Hospital District CurrentSince Oct 20, 2025 Accepting new patients

Locations

1150 N Cole St
Bushnell, IL 61422
Phone (309) 772-2255

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

515 E Grant St
Ste 111
Macomb, IL 61455
Phone (309) 833-1729

515 E Grant St
Ste 112
Macomb, IL 61455
Phone (309) 833-4104

515 E Grant St
Ste 213
Macomb, IL 61455
Phone (309) 836-1700

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

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 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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1598508665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N COLE ST",
            "city": "BUSHNELL",
            "state": "IL",
            "postal_code": "614229503",
            "telephone_number": "309-772-9444",
            "fax_number": "309-772-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N COLE ST",
            "city": "BUSHNELL",
            "state": "IL",
            "postal_code": "614229503",
            "telephone_number": "309-772-9444",
            "fax_number": "309-772-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "KYLE",
        "middle_name": "AARON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bushnell, IL

Sources for this page

Verify at the official NPI Registry.