Monica Lynn Allen, FNP
Individual provider Active NPI Family Nurse Practitioner · Danville, IL
NPI 1720190010 · NPPES record last updated Apr 10, 2019
Key facts
- NPI
- 1720190010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209006469 (IL)
- Practice address
- 1900 E Main St
Danville, IL 61832-5100 - Phone
- (217) 554-4504
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3140 N Vermilion St
Suite 202
Danville, IL 61832-1313
Phone (217) 677-3929
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 |
|---|---|---|---|---|
| I20110812000340 | IL | Practitioner - Nurse Practitioner | 4880863604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28099930 | IN | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Mind Body & Spirit Health, PLLC | Current |
Accepting new patients | |
| Smart Health and Wellness, PLLC | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
3140 N Vermilion St
Ste 202
Danville, IL 61832
Phone (217) 677-3929
603 N Logan Ave
Danville, IL 61832
Phone (217) 213-5254
735 N Logan Ave
Danville, IL 61832
Phone (217) 280-8502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 28099930 | IN | |
| Family Nurse Practitioner | 363LF0000X | 209006469 | IL | Yes |
Addresses
Primary practice location
1900 E Main St
Danville, IL 61832-5100
Mailing address
508 Fancy St
Covington, IN 47932-1439
Other providers in Danville, IL
- Rafia Ali
- Uche Frances Allanah
- Allen Mind Body & Spirit Health, PLLC
- Bailey Nicole Allen
- Mallorie Allen
- Nancy Joann Allen
- Les Allinger
- Pamela Allison
- Cassandra Alpers
- Alpha Omega Counseling Services
All providers in Danville, 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 Apr 10, 2019. 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.