Active NPI
Chris A Herbert, FNP
- Family Nurse Practitioner
- Dixon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209020686
- Practice address
- 403 E 1St St
Dixon, IL 61021-3187 - Phone
- (815) 288-5531
- Fax
- (815) 285-5558
- NPI assigned
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 209020686 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209020686 | IL | Primary |
Addresses
Primary practice location
403 E 1St St
Dixon, IL 61021-3187
Mailing address
403 E 1St St
Dixon, IL 61021-3187
Phone (815) 288-5531
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 Park Ave E
Princeton, IL 61356-3901
Phone (815) 875-2811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209020686 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KSB Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Katherine Shaw Bethea Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| KSB Medical Group, Inc. | Current | Accepting new patients | |
| Cardinal Medical Group, LTD. | Past | Accepting new patients |
Locations
215 E 1st St
Ste 326
Dixon, IL 61021
Phone (815) 285-5800
403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629
215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1427043546
-
- Eyewear Supplier
- Dixon, IL
- NPI 1306814603
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Multi-Specialty Clinic/Center
- Peoria, IL
- NPI 1992829485
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1760022180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E 1ST ST",
"city": "DIXON",
"state": "IL",
"postal_code": "610213187",
"telephone_number": "815-288-5531",
"fax_number": "815-285-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E 1ST ST",
"city": "DIXON",
"state": "IL",
"postal_code": "610213187",
"telephone_number": "815-288-5531",
"fax_number": "815-285-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "CHRIS",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-14",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "209020686",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209020686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.