Individual provider Active NPI

Veronica Spangler, FNP-C

  • Family Nurse Practitioner
  • Peru, IL
National Provider Identifier
1609481175
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.021486 Issued in IL
Practice address
1910 Plum St
Peru, IL 61354-1851
Phone
(815) 326-1010
NPI assigned
Sep 11, 2020
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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 209.021486 IL Primary

Addresses

Primary practice location

1910 Plum St
Peru, IL 61354-1851

Mailing address

1401 E State St Ste 3000
Rockford, IL 61104-2315
Phone (877) 692-8686

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL . 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
I20220202002284 IL Practitioner - Nurse Practitioner 3072906650 Reassigns benefits to 5 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
Saint James HospitalGroup PAC ID 0648187252, 74 clinicians
Mendota Community HospitalGroup PAC ID 2264335777, 51 clinicians

Practice addresses (Care Compare)

111 Spring St
FL 4
Streator, IL 61364-3332
Phone (815) 672-4587

1401 E 12TH St
Mendota, IL 61342-9216
Phone (815) 539-7461

1640 1St Ave
Ottawa, IL 61350-9214
Phone (815) 431-9208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.021486ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Jul 16, 2024 Accepting new patients
Mendota Community Hospital CurrentSince Apr 6, 2025 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jul 16, 2024 Accepting new patients
Mendota Community Hospital CurrentSince Apr 6, 2025 Accepting new patients
Osf Healthcare System CurrentSince Oct 21, 2025 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jul 16, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Healthcare System CurrentSince Oct 21, 2025 Accepting new patients
Saint James Hospital CurrentSince Jul 16, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 1, 2022 Accepting new patients
Osf Healthcare System Past Accepting new patients
Aunt Martha's Health and Wellness PastSince Oct 24, 2021 Accepting new patients
Mendota Community Hospital Past Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients
Saint James Hospital Past Accepting new patients

Locations

1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1405 E 12th St
Ste 300600
Mendota, IL 61342

1405 E 12th St
Ste 600
Mendota, IL 61342
Phone (815) 538-7200

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1640 1st Ave
Ottawa, IL 61350
Phone (815) 431-9208

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1650 Midtown Rd
Peru, IL 61354
Phone (815) 220-1122

530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811

535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531

1401 E State St
Ste 3000
Rockford, IL 61104

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13826/brand/4/csg/21/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/auntmarthas/r4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1609481175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST STE 3000",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315",
            "telephone_number": "877-692-8686",
            "fax_number": "815-968-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PLUM ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541851",
            "telephone_number": "815-326-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.021486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": ".",
            "affiliation": "N",
            "endpointDescription": ".",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".",
            "address_1": "1401 E State St Ste 3000",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611042315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.