Individual provider Active NPI

Susan Sarita Walsh

  • Psychiatric/Mental Health Nurse Practitioner
  • Ottawa, IL
National Provider Identifier
1821877010
Registry record updated Oct 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209028319 Issued in IL
Practice address
1502 Post St
Ottawa, IL 61350-2234
Phone
(815) 408-9166
Fax
(779) 279-8814
NPI assigned
Sep 26, 2023
Last updated
Oct 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209028319 IL Primary

Addresses

Primary practice location

1502 Post St
Ottawa, IL 61350-2234

Mailing address

1502 Post St
Ottawa, IL 61350-2234
Phone (815) 408-9166

Other practice location 1

3024 E Empire St Ste A
Bloomington, IL 61704-5402
Phone (309) 556-7800

Other practice location 2

228 NE Jefferson Ave
Peoria, IL 61603-3802
Phone (309) 672-3100

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
I20231122001077 IL Practitioner - Nurse Practitioner 8628426152 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

111 E Jefferson St
Ottawa, IL 61350-5003
Phone (815) 408-9166

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

3024 E Empire St
Bloomington, IL 61704-5402

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209028319ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tazwood Mental Health Center, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Tazwood Mental Health Center, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Carle Health Medical Group CurrentSince Oct 4, 2025 Accepting new patients
Methodist Medical Center of Illinois Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 1, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince Feb 10, 2025 Accepting new patients
Walsh Psychiatric Services CurrentSince May 26, 2026 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

3024 E Empire St
Ste A
Bloomington, IL 61704
Phone (309) 556-7800

111 E Jefferson St
Ottawa, IL 61350
Phone (815) 421-9010

1502 Post St
Ottawa, IL 61350

3248 Vandever Ave
Pekin, IL 61554
Phone (309) 347-5522

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

900 Main St
Ste 400
Peoria, IL 61602
Phone (309) 672-3100

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: swalshaprn397424@carlehiedirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792886400000",
    "number": "1821877010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 POST ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502234",
            "telephone_number": "815-408-9166",
            "fax_number": "779-279-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 POST ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502234",
            "telephone_number": "815-408-9166",
            "fax_number": "779-279-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 E Empire St Ste A",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617045402",
            "country_code": "US",
            "telephone_number": "309-556-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 NE Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033802",
            "country_code": "US",
            "telephone_number": "309-672-3100",
            "fax_number": "309-671-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SUSAN",
        "middle_name": "SARITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2026-10-25",
        "certification_date": "2026-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209028319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.