Individual provider Active NPI

April Thomas

  • Family Nurse Practitioner
  • Collinsville, IL
National Provider Identifier
1740017359
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.030592 Issued in IL
Practice address
416 Wilson Ave
Collinsville, IL 62234-5342
Phone
(618) 210-1661
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 209.030592 IL Primary

Addresses

Primary practice location

416 Wilson Ave
Collinsville, IL 62234-5342

Mailing address

416 Wilson Ave
Collinsville, IL 62234-5342

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
I20241011000671 IL Practitioner - Nurse Practitioner 0941732259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group Illinois LLCGroup PAC ID 3870838428, 7 clinicians
Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Practice addresses (Care Compare)

115 E S St
Suite F
Plano, IL 60545-1595
Phone (630) 551-3666

1530 N Randall Rd
Suite 210
Elgin, IL 60123-7879
Phone (224) 760-7322

3402 Anderson Healthcare Dr
Edwardsville, IL 62025-7712
Phone (618) 307-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.030592ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physician Group, Illinois LLC CurrentSince Sep 25, 2024 Accepting new patients
Chestnut Health of Illinois LLC Past Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

3402 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 307-7900

2920 Leverenz Rd
Naperville, IL 60564
Phone (630) 359-8835

115 E South St
Ste F
Plano, IL 60545
Phone (630) 551-3666

Organizations & group practices 2

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1740017359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WILSON AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622345342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 WILSON AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622345342",
            "telephone_number": "618-210-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "APRIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.