Individual provider Active NPI

Danae Smith, APN

  • Family Nurse Practitioner
  • Ottawa, IL
National Provider Identifier
1780060517
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277005381 Issued in IL
Practice address
1050 E Norris Dr Ste 2B
Ottawa, IL 61350-1611
Phone
(815) 431-0785
Fax
(815) 431-0799
NPI assigned
Aug 4, 2015
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277005381 IL
Family Nurse Practitioner 363LF0000X 277005381 IL Primary

Addresses

Primary practice location

1050 E Norris Dr Ste 2B
Ottawa, IL 61350-1611

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3168
Phone (309) 676-8123

Other practice location 1

530 Park Ave E Ste 403
Princeton, IL 61356-3901
Phone (309) 676-8123

Other practice location 2

920 West St Ste 212
Peru, IL 61354-2769
Phone (309) 676-8123

Other practice location 3

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3168
Phone (309) 676-8123

Other identifiers 1

IdentifierTypeStateIssuer
209014259MedicaidIL

Other names 1

  • Danae Nelson 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
I20160825000390 IL Practitioner - Nurse Practitioner 4789993130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

1050 E Norris Dr
Suite 2C
Ottawa, IL 61350-1611
Phone (815) 431-0785

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277005381ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renalcare Associates, S.C. Nurse Practitioner CurrentSince Jul 7, 2016 Accepting new patients

Locations

400 John Deere Rd
Bldg 2
Moline, IL 61265
Phone (309) 797-0594

430 Maxine Dr
Morton, IL 61550
Phone (309) 266-7600

1302 Franklin Ave
Ste 3000
Normal, IL 61761
Phone (309) 454-3456

1050 E Norris Dr
Ste 2B
Ottawa, IL 61350
Phone (815) 431-0785

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

600 S 13th St
Ste K
Pekin, IL 61554
Phone (309) 347-1151

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

920 West St
Ste 212
Peru, IL 61354
Phone (309) 680-5000

702 S Rittenhouse Dr
Pontiac, IL 61764
Phone (309) 662-9461

530 Park Ave E
Ste 403
Princeton, IL 61356
Phone (815) 224-1610

Interoperability endpoints

  • Direct secure messaging: dnelson7602@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1780060517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033168",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E NORRIS DR STE 2B",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501611",
            "telephone_number": "815-431-0785",
            "fax_number": "815-431-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Park Ave E Ste 403",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "613563901",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 West St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IL",
            "postal_code": "613542769",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 NE Glen Oak Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033168",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANAE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277005381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277005381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209014259",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANAE",
            "last_name": "NELSON",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.