Alanna Adams, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Champaign, IL
NPI 1740038009 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1740038009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.029684 (IL)
- Practice address
- 819 Bloomington Rd
Champaign, IL 61820-2101 - Phone
- (217) 356-1558
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20240802002942 | IL | Practitioner - Nurse Practitioner | 0941747364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.029684 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare NFP | Current |
Accepting new patients | |
| Promise Healthcare NFP | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
Interoperability endpoints
- alanna.adams.d1.p11@direct.fhn-fqhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.029684 | IL | Yes |
Addresses
Primary practice location
819 Bloomington Rd
Champaign, IL 61820-2101
Mailing address
1210 Mayfair Rd
Champaign, IL 61821-5026
Phone (217) 377-5703
Other providers in Champaign, IL
- Accent Counseling LLC
- Nathan Ackerman
- Elizabeth A Ackerson
- Dule Acuna
- Courtney Adair
- Maria Adams
- Michele Adams
- Addus Healthcare Inc
- Addus Healthcare, Inc.
- Patience Okpaku Adesida
All providers in Champaign, 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 May 10, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.