Active NPI
Dana M Stephens, N.P.
- Pediatric Nurse Practitioner
- Morton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209004739
- Practice address
- 1909 N Morton Ave
Morton, IL 61550-1426 - Phone
- (309) 263-9124
- Fax
- (309) 266-8696
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209004739 | IL | Primary |
Addresses
Primary practice location
1909 N Morton Ave
Morton, IL 61550-1426
Mailing address
1909 N Morton Ave
Morton, IL 61550-1426
Phone (309) 263-9124
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Pediatrics | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
7694 Solutions Ctr
Chicago, IL 60677
2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464
1909 N Morton Ave
Morton, IL 61550
Phone (309) 263-9124
507 E Armstrong Ave
Peoria, IL 61603
Phone (309) 681-6960
815 Main St
Ste A1
Peoria, IL 61602
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Pediatrics
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1730353186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 N MORTON AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "615501426",
"telephone_number": "309-263-9124",
"fax_number": "309-266-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 N MORTON AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "615501426",
"telephone_number": "309-263-9124",
"fax_number": "309-266-8696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "DANA",
"middle_name": "M",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209004739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.