Individual provider Active NPI

Paige Brennan, APRN

  • Family Nurse Practitioner
  • La Salle, IL
National Provider Identifier
1730775966
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277004726 Issued in IL
Practice address
917 1St St
La Salle, IL 61301-2537
Phone
(815) 780-2525
Fax
(815) 205-4533
NPI assigned
Dec 11, 2020
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 277004726 IL Primary

Addresses

Primary practice location

917 1St St
La Salle, IL 61301-2537

Mailing address

917 1St St
La Salle, IL 61301-2537
Phone (815) 780-2525

Other practice location 1

2148 Vadalabene Dr
Maryville, IL 62062-5632
Phone (618) 288-3100

Other practice location 2

50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone (618) 512-1919

Other names 1

  • Paige Lay Former name

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
I20210130000130 IL Practitioner - Nurse Practitioner 5496169625 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Chestnut Health Systems IncGroup PAC ID 1052393063, 31 clinicians
Local NP PCGroup PAC ID 2860804853, 2 clinicians

Practice addresses (Care Compare)

50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone (618) 877-4420

917 1St St
La Salle, IL 61301-2537
Phone (815) 780-2525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277004726ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alton Urgent Care Walk in Clinic Company CurrentSince Apr 1, 2021 Accepting new patients
Belleville Urgent Care Walk-in Clinic CurrentSince Dec 15, 2020 Accepting new patients
Chestnut Health Systems Inc. CurrentSince Dec 2, 2021 Accepting new patients
Chestnut Health Systems Inc CurrentSince Dec 2, 2021 Accepting new patients
Waterloo Urgent Care Walk in Clinic Company CurrentSince Apr 1, 2021 Accepting new patients
Granite City Urgent Care Walk-in Clinic CurrentSince Dec 15, 2020 Accepting new patients
Local NP PC Family CurrentSince Nov 1, 2025 Accepting new patients
Chestnut Health Systems, Inc Past Accepting new patients

Locations

1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320

2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

702 W Chestnut St
Bloomington, IL 61701
Phone (309) 557-1400

2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

917 1st St
La Salle, IL 61301
Phone (815) 780-2525

2148 Vadalabene Dr
Maryville, IL 62062
Phone (618) 288-3100

448 Wylie Dr
Normal, IL 61761
Phone (844) 973-6887

907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

Organizations & group practices 8

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1730775966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 1ST ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012537",
            "telephone_number": "815-780-2525",
            "fax_number": "815-205-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 1ST ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012537",
            "telephone_number": "815-780-2525",
            "fax_number": "815-205-4533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2148 Vadalabene Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620625632",
            "country_code": "US",
            "telephone_number": "618-288-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Northgate Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620406805",
            "country_code": "US",
            "telephone_number": "618-512-1919",
            "fax_number": "618-512-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "PAIGE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "LAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Salle, IL

Sources for this page

Verify at the official NPI Registry.