Individual provider Active NPI

Cindy Lea Rich, APN CNP

  • Family Nurse Practitioner
  • Cowden, IL
National Provider Identifier
1639248552
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-003495 Issued in IL
Practice address
209 E Elm Street
Cowden, IL 62422
Phone
(217) 783-6565
Fax
(217) 783-6577
NPI assigned
Nov 7, 2006
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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 209-003495 IL Primary

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

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
I20060424000650 IL Practitioner - Nurse Practitioner 8123038932 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-003495ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association CurrentSince Oct 17, 2023 Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Pana Community Hospital Association CurrentSince Oct 17, 2023 Accepting new patients

Locations

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1639248552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E ELM ST",
            "address_2": "PO BOX 154",
            "city": "COWDEN",
            "state": "IL",
            "postal_code": "624229337",
            "telephone_number": "217-783-6565",
            "fax_number": "217-783-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E ELM STREET",
            "city": "COWDEN",
            "state": "IL",
            "postal_code": "62422",
            "telephone_number": "217-783-6565",
            "fax_number": "217-783-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "CINDY",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "APN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-003495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cowden, IL

Sources for this page

Verify at the official NPI Registry.