Active NPI
Cheryl Marie Lucas McCoy, APRN, CNP
- Family Nurse Practitioner
- Ottawa, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209024769
- Practice address
- 1100 E Norris Dr
Ottawa, IL 61350-1604 - Phone
- (815) 433-3100
- Fax
- (815) 433-0879
- NPI assigned
- Feb 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.024769 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209024769 | IL | Primary |
Addresses
Primary practice location
1100 E Norris Dr
Ottawa, IL 61350-1604
Mailing address
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
Other practice location 1
3101 7th St
Peru, IL 61354-2471
Phone (815) 343-3377
Other names 1
- Cheryl Marie Lucas
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024769 | IL | MD | Nurse Practitioner |
| 209024769 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendota Community Hospital | Nurse Practitioner | Current | Accepting new patients |
| Mendota Community Hospital | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Mendota Community Hospital | Current | Accepting new patients |
Locations
1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825
1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587
Organizations & group practices 11
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
- Peoria, IL
- NPI 1922445527
-
dba OSF Medical Group-Mendota
- Family Medicine Physician
- Mendota, IL
- NPI 1407872997
Nurse Practitioner
-
dba Osf Holy Family Clinics
- Rural Health Clinic/Center
- Monmouth, IL
- NPI 1679606073
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Ottawa, IL
- NPI 1306971080
-
dba OSF Healthcare - Streator Medical Group
- Rural Health Clinic/Center
- Streator, IL
- NPI 1891399432
-
dba OSF Healthcare - Medical Group - Granville
- Rural Health Clinic/Center
- Granville, IL
- NPI 1225877590
-
dba OSF Saint Paul Medical Center
- Emergency Medicine Physician
- Mendota, IL
- NPI 1417973900
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
dba OSF Healthcare - Medical Group (Non-RHC Billing)
- Family Medicine Physician
- Marseilles, IL
- NPI 1558088203
-
dba OSF Healthcare - Medical Group - Roanoke
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1811643315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E NORRIS DR",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501604",
"telephone_number": "815-433-3100",
"fax_number": "815-433-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E NORRIS DR",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501604",
"telephone_number": "815-433-3100",
"fax_number": "815-433-0879"
}
],
"practiceLocations": [
{
"address_1": "3101 7th St",
"address_purpose": "LOCATION",
"city": "Peru",
"state": "IL",
"postal_code": "613542471",
"country_code": "US",
"telephone_number": "815-343-3377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS MCCOY",
"first_name": "CHERYL",
"middle_name": "MARIE",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.024769",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209024769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "LUCAS",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.