Danielle M Pare, FNP
Individual provider Active NPI Family Nurse Practitioner · Atwood, IL
NPI 1629629324 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1629629324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209019025 (IL)
- Practice address
- 100 E US Highway 36
Atwood, IL 61913-7233 - Phone
- (217) 578-3814
- Fax
- (217) 578-3100
- NPI assigned
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kirby Medical Center
Practice addresses (Care Compare)
1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540
Hospital & facility affiliations
- Kirby Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221000546 | IL | Practitioner - Nurse Practitioner | 3870920119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209019025 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirby Medical Center | Current |
Accepting new patients | |
| Kirby Medical Center | Family Medicine | Current |
Accepting new patients |
| Kirby Medical Center | Past | Accepting new patients | |
| Kirby Medical Center | Past | Accepting new patients |
Locations
100 E US Highway 36
Atwood, IL 61913
Phone (217) 578-2850
407 S Jackson St
Ste A
Cerro Gordo, IL 61818
Phone (217) 763-6010
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
1000 Medical Center Dr
Ste A
Monticello, IL 61856
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11001739 | FL | |
| Family Nurse Practitioner | 363LF0000X | 209019025 | IL | Yes |
Addresses
Primary practice location
100 E US Highway 36
Atwood, IL 61913-7233
Mailing address
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-6241
Other practice location 1
407 S Jackson St Ste A
Cerro Gordo, IL 61818-4360
Phone (217) 763-6010
Other practice location 2
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-6241
Other names
- Miss Danielle Meier
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dpare@kmc.kirbymedicalcenter.net | Direct |
Other providers in Atwood, IL
All providers in Atwood, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.