Active NPI
Russia Vega, NP
- Nurse Practitioner
- Danville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209011985
- Practice address
- 311 W. Fairchild St.
Danville, IL 61832-3803 - Phone
- (217) 431-7600
- Fax
- (217) 431-7850
- NPI assigned
- Oct 28, 2014
- Last updated
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209011985 | IL | Primary |
Addresses
Primary practice location
311 W. Fairchild St.
Danville, IL 61832-3803
Mailing address
611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1907 W Springfield Ave
Suite B
Champaign, IL 61821-3098
Phone (732) 822-8483
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Ameriwound Physicians Il LLC | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Chambana Urgent Care and Walk in Clinic | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1907 W Springfield Ave
Ste B
Champaign, IL 61821
Phone (217) 898-8393
311 W Fairchild St
Danville, IL 61832
Phone (217) 431-7600
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
410 N 2nd St
Marshall, IL 62441
Phone (217) 826-2358
1011 N Main St
Paris, IL 61944
Phone (217) 465-5376
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- rveganp11538@carlehiedirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Champaign, IL
- NPI 1770358871
-
- General Practice Physician
- Skokie, IL
- NPI 1104245893
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
dba Charlotte Ann Russell Medical Center
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hoopeston Community Ambulance
- Ambulance
- Hoopeston, IL
- NPI 1164594594
Hospital
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1760887152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W. FAIRCHILD ST.",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618323803",
"telephone_number": "217-431-7600",
"fax_number": "217-431-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "RUSSIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209011985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.