Individual provider Active NPI

Victoria Sue Payne, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Washington, IL
National Provider Identifier
1760048334
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277003167 Issued in IL
Practice address
1986 Freedom Pkwy
Washington, IL 61571-9468
Phone
(309) 308-5100
NPI assigned
May 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277003167 IL Primary
Pediatric Registered Nurse 163WP0200X 041.396677 IL

Addresses

Primary practice location

1986 Freedom Pkwy
Washington, IL 61571-9468

Mailing address

2214 N University St
Peoria, IL 61604-3221
Phone (309) 495-8644

Other identifiers 1

IdentifierTypeStateIssuer
209.019427OtherILIL STATE NURSE PRACTITIONER LICENSE

Other names 1

  • Victoria S Guthrie, Olsen, Goodman, Cadena Former name

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
I20241004001817 IL Practitioner - Nurse Practitioner 8921414772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.396677ILMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 24, 2024 Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients
Champaign Integrative Clinic, PLLC PastSince Nov 1, 2020 Accepting new patients
Two Roads Wellness Clinic, LLC PastSince Nov 1, 2020 Accepting new patients

Locations (25 of 26)

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1715 N Division St
Ste 4D
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

5209 W War Memorial Dr
Peoria, IL 61615

1800 N Knoxville Ave
Ste A
Peoria, IL 61603

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

5905 N Prospect Rd
Peoria, IL 61614

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

10408 N Centerway Dr
Ste C
Peoria, IL 61615

3626 N Sheridan Rd
Peoria, IL 61604

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

841 Broadmeadow Rd
Rantoul, IL 61866
Phone (217) 282-3010

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.

NPI Registry JSON

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1760048334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043221",
            "telephone_number": "309-495-8644",
            "fax_number": "309-681-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1986 FREEDOM PKWY",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719468",
            "telephone_number": "309-308-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "VICTORIA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003167",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IL",
            "license": "041.396677",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE NURSE PRACTITIONER LICENSE",
            "identifier": "209.019427",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "GUTHRIE, OLSEN, GOODMAN, CADENA",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, IL

Sources for this page

Verify at the official NPI Registry.