NPIMap

Individual provider Active NPI

Brooke Yucus

  • Nurse Practitioner
  • Spring Valley, IL
National Provider Identifier
1619617602
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.024930 Issued in IL
Practice address
600 E 1St St
Spring Valley, IL 61362-1512
Phone
(815) 326-2093
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.024930 IL Primary

Addresses

Primary practice location

600 E 1St St
Spring Valley, IL 61362-1512

Mailing address

16311 3200 East St
Spring Valley, IL 61362-9258
Phone (815) 326-2093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825002652 IL Practitioner - Nurse Practitioner 5092198150 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians

Practice addresses (Care Compare)

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

1404 Washington St
Mendota, IL 61342-1471
Phone (815) 539-1825

309 S McCoy St Osf Healthcare - Medic
Granville, IL 61326-9333
Phone (815) 538-1352

535 Park Ave E
Princeton, IL 61356-2537
Phone (815) 875-4531

Hospital & facility affiliations

  • Osf Healthcare Home Care Home health agency, Loves Park, IL, CCN 147271
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
  • Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Saint James Hospital Hospital, Pontiac, IL, CCN 140161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.024930ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System CurrentSince Jun 1, 2023 Accepting new patients
Epss, LLC- Metro Series CurrentSince May 1, 2022 Accepting new patients
Osf Healthcare System CurrentSince Jun 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 11, 2023 Accepting new patients
Mendota Community Hospital CurrentSince Jun 1, 2024 Accepting new patients
Epss Peoria LLC CurrentSince May 1, 2022 Accepting new patients
Epss LLC - Central Series CurrentSince May 1, 2022 Accepting new patients
Mendota Community Hospital Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients

Locations

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

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

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

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

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

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

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

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

600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477

Organizations & group practices 11

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 5

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1619617602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 3200 EAST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613629258",
            "telephone_number": "815-326-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-326-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCUS",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.