Punam Subhashchandra Trivede, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209018588 Issued in IL

Practice address

711 W John Gwynn Ave
Peoria, IL 61605-2270

Phone

(309) 680-7600

Fax

(309) 671-2188

NPI assigned

Jan 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Best Practices Inpatient Care, LTD.

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1619913522
  Medicare reassignment NPD
• Best Practices Inpatient Care, LTD

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1265755664
  NPD
• Best Practices Inpatient Care,LTD

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1417240946
  NPD
• Central PA Pharmacy LLC.

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1790258473",
    "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": "309-680-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W JOHN GWYNN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052270",
            "telephone_number": "309-680-7600",
            "fax_number": "309-671-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDE",
        "first_name": "PUNAM",
        "middle_name": "SUBHASHCHANDRA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209018588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209018588",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Sue Trilikis, APRN
• Angela N Trimble, FNP
• Trinity Maston Counseling
• Niroj Raman Tripathee, MD
• Nina Nicole Trisilla, FNP-C
• Devendra V Trivedi, M.D.
• Trotter Chiropractic Office, P.C.
• Dean R Trotter, D.C.
• True Being Rd LLC
• Emily Louise Trulson

• Family Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.

Verify at the official NPI Registry.