Individual provider Active NPI

Dawn A. Knutson, NP-C

  • Nurse Practitioner
  • Blandinsville, IL
National Provider Identifier
1700544285
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.024456 Issued in IL
Practice address
200 N Jackson St
Blandinsville, IL 61420-5022
Phone
(309) 252-0213
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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 209.024456 IL Primary

Addresses

Primary practice location

200 N Jackson St
Blandinsville, IL 61420-5022

Mailing address

PO Box 93
Blandinsville, IL 61420-0093
Phone (309) 252-0213

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
I20220428000330 IL Practitioner - Nurse Practitioner 3577950294 Reassigns benefits to 4 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
Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians

Practice addresses (Care Compare)

530 N Seminary St
Galesburg, IL 61401-3739
Phone (309) 647-5240

Hospital & facility affiliations

  • Osf Home Health-Western Region Home health agency, Galesburg, IL, CCN 147430
  • Graham Hospital Association Hospital, Canton, IL, CCN 140001
  • Graham Hospital Association Hospital, Canton, IL, CCN 141356
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
62.57
Promoting interoperability
100
Improvement activities
40
Cost
77.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Hospital Association Current Accepting new patients
Epss Peoria LLC CurrentSince May 19, 2022 Accepting new patients
Epss, LLC- Metro Series CurrentSince Feb 1, 2022 Accepting new patients
Graham Hospital Association CurrentSince Sep 18, 2023 Accepting new patients
Epss LLC - Central Series CurrentSince Mar 4, 2022 Accepting new patients
Graham Hospital Association CurrentSince Sep 18, 2023 Accepting new patients
Graham Hospital Association Past Accepting new patients

Locations

126 N 5th Ave
Canton, IL 61520

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

175 S Main St
Canton, IL 61520
Phone (309) 647-3937

2028 N Seminary St
Galesburg, IL 61401
Phone (309) 342-5166

1174 N Seminary St
Galesburg, IL 61401
Phone (309) 344-4988

455 E 3rd St
Galesburg, IL 61401
Phone (309) 570-1333

530 N Seminary St
Galesburg, IL 61401

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

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

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

Organizations & group practices 7

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 3

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1700544285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "BLANDINSVILLE",
            "state": "IL",
            "postal_code": "614200093",
            "telephone_number": "309-252-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JACKSON ST",
            "city": "BLANDINSVILLE",
            "state": "IL",
            "postal_code": "614205022",
            "telephone_number": "309-252-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "DAWN",
        "middle_name": "A.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandinsville, IL

Sources for this page

Verify at the official NPI Registry.