Individual provider Active NPI

Brandi Ann Doerflein, APRN

  • Family Nurse Practitioner
  • Carbondale, IL
National Provider Identifier
1750064838
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027883 Issued in IL
Practice address
2250 Reed Station Pkwy Ste 305
Carbondale, IL 62901-8104
Phone
(618) 457-4999
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 209027883 IL Primary

Addresses

Primary practice location

2250 Reed Station Pkwy Ste 305
Carbondale, IL 62901-8104

Mailing address

PO Box 9727
Peoria, IL 61612-9727
Phone (309) 886-9172

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
I20230825003334 IL Practitioner - Nurse Practitioner 0840653622 Reassigns benefits to 3 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
Hanson Medical Services PLLCGroup PAC ID 5890210520, 3 clinicians
Rubicon Healthcare IncGroup PAC ID 1951899137, 3 clinicians

Practice addresses (Care Compare)

2250 Reed Station Pkwy
Carbondale, IL 62901-8101
Phone (618) 457-4999

2250 Reed Station Pkwy
Suite 305
Carbondale, IL 62901-8104
Phone (618) 457-4999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027883ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hanson Medical Services PLLC CurrentSince May 1, 2025 Accepting new patients
Solvera Healthcare Center Inc Current Accepting new patients
Solvera Healthcare Center Inc CurrentSince Aug 11, 2023 Accepting new patients
Rubicon Healthcare Inc CurrentSince Mar 3, 2026 Accepting new patients
Solvera Healthcare Center Inc CurrentSince Aug 11, 2023 Accepting new patients

Locations

2250 Reed Station Pkwy
Ste 305
Carbondale, IL 62901
Phone (618) 457-4999

2250 Reed Station Pkwy
Carbondale, IL 62901
Phone (618) 457-4999

721 S Lewis Ln
Carbondale, IL 62901
Phone (618) 457-4999

256 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 233-2836

3525 N University St
Peoria, IL 61604
Phone (309) 886-9172

Interoperability endpoints

  • Direct secure messaging: bdoerflein72419@sih.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1750064838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9727",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616129727",
            "telephone_number": "309-886-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 REED STATION PKWY STE 305",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629018104",
            "telephone_number": "618-457-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERFLEIN",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.