Cindy Lea Rich, APN CNP
Individual provider Active NPI Family Nurse Practitioner · Cowden, IL
NPI 1639248552 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1639248552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209-003495 (IL)
- Practice address
- 209 E Elm Street
Cowden, IL 62422 - Phone
- (217) 783-6565
- Fax
- (217) 783-6577
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20060424000650 | IL | Practitioner - Nurse Practitioner | 8123038932 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-003495 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pana Community Hospital Association | Current |
Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current |
Accepting new patients |
Locations
101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-003495 | IL | Yes |
Addresses
Primary practice location
209 E Elm Street
Cowden, IL 62422
Mailing address
209 E Elm St
PO Box 154
Cowden, IL 62422-9337
Phone (217) 783-6565
Other providers in Cowden, IL
- Oluwaseun Asmau Akorede
- Cowden Herrick Cusd 3a
- Cowden Medical Clinic LLC
- Cowden-Herrick Cusd 3a
- Pana Community Hospital Association
- Kelcie Taylor West
- Morgan Elizabeth Westjohn
- Reta Jean Yoder
All providers in Cowden, 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 Jan 20, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.