Active NPI
Jennifer Erlandson, APRN
- Nurse Practitioner
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209025713
- Practice address
- 1302 Franklin Ave Ste 3400
Normal, IL 61761-6523 - Phone
- (309) 556-8300
- NPI assigned
- Aug 16, 2022
- 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 | 209025713 | IL | Primary |
Addresses
Primary practice location
1302 Franklin Ave Ste 3400
Normal, IL 61761-6523
Mailing address
611 W Park St
Urbana, IL 61801-2529
Other practice location 1
1304 Franklin Ave
Normal, IL 61761-3558
Phone (309) 268-5121
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Bromenn Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Nurse Practitioner | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
1302 Franklin Ave
Ste 3400
Normal, IL 61761
Phone (309) 451-9595
900 Main St
Ste 630
Peoria, IL 61602
Phone (309) 627-4433
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- jerlandson329299@carlehiedirect.net
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
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1801514971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 FRANKLIN AVE STE 3400",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616523",
"telephone_number": "309-556-8300"
}
],
"practiceLocations": [
{
"address_1": "1304 Franklin Ave",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "617613558",
"country_code": "US",
"telephone_number": "309-268-5121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERLANDSON",
"first_name": "JENNIFER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-11-28",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209025713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.