Individual provider Active NPI

Blair W Patterson, N.P.

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1841446770
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.007180 Issued in IL
Practice address
701 N 1St St
Springfield, IL 62781-0001
Phone
(217) 788-3334
NPI assigned
Aug 12, 2008
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 209007180 IL
Family Nurse Practitioner 363LF0000X 209.007180 IL Primary

Addresses

Primary practice location

701 N 1St St
Springfield, IL 62781-0001

Mailing address

2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone (630) 472-8800

Other practice location 1

3220 Atlanta St Ste 100
Springfield, IL 62707-8801
Phone (217) 545-4968

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
I20081124000083 IL Practitioner - Nurse Practitioner 0143380964 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Southern Illinois University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3220 Atlanta St
Springfield, IL 62707-8801
Phone (217) 545-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209007180ILMDNurse Practitioner
209.007180ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylorville Memorial Hospital CurrentSince Dec 30, 2025 Accepting new patients
Passavant Memorial Area Hospital Association CurrentSince Jan 7, 2026 Accepting new patients
Passavant Memorial Area Hospital Association CurrentSince Dec 4, 2023 Accepting new patients
Midwest Emergency Department Specialists LTD CurrentSince Aug 18, 2008 Accepting new patients
Taylorville Memorial Hospital CurrentSince Dec 30, 2025 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Mar 1, 2025 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Mar 1, 2025 Accepting new patients
Passavant Memorial Area Hospital Association Nurse Practitioner Current Accepting new patients
Board of Trustees of Southern Illinois University PastSince Jul 1, 2024 Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

3220 Atlanta St
Springfield, IL 62707
Phone (217) 588-2600

3220 Atlanta St
Ste 100
Springfield, IL 62707
Phone (217) 545-4968

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/stvince-659560ec

Organizations & group practices 9

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 1

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1841446770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPRING RD",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231804",
            "telephone_number": "630-472-8800",
            "fax_number": "630-472-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 Atlanta St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627078801",
            "country_code": "US",
            "telephone_number": "217-545-4968",
            "fax_number": "217-545-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BLAIR",
        "middle_name": "W",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007180",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.007180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.