Individual provider Active NPI

Damon Lloyd Page, APRN

  • Family Nurse Practitioner
  • Macomb, IL
National Provider Identifier
1750157194
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028828 Issued in IL
Practice address
1207 E Thomas St
Macomb, IL 61455-3411
Phone
(309) 255-3280
NPI assigned
Nov 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 209028828 IL Primary

Addresses

Primary practice location

1207 E Thomas St
Macomb, IL 61455-3411

Mailing address

1207 E Thomas St
Macomb, IL 61455-3411
Phone (309) 255-3280

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
I20241112002524 IL Practitioner - Nurse Practitioner 4183158264 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District CurrentSince Aug 10, 2024 Accepting new patients
McDonough County Hospital District CurrentSince Aug 10, 2024 Accepting new patients
McDonough County Hospital District CurrentSince Aug 10, 2024 Accepting new patients
McDonough County Hospital District CurrentSince Aug 10, 2024 Accepting new patients
McDonough County Hospital District Current Accepting new patients

Locations

1150 N Cole St
Bushnell, IL 61422
Phone (309) 772-2255

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

515 E Grant St
Ste 113
Macomb, IL 61455
Phone (309) 833-6937

515 E Grant St
Ste 212
Macomb, IL 61455
Phone (309) 836-6400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1750157194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E THOMAS ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553411",
            "telephone_number": "309-255-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E THOMAS ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553411",
            "telephone_number": "309-255-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "DAMON",
        "middle_name": "LLOYD",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.