Individual provider Active NPI

Janella Schroeder, FNP-C

  • Family Nurse Practitioner
  • Watseka, IL
National Provider Identifier
1851721948
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010883 Issued in IL
Practice address
200 Laird LN
Watseka, IL 60970-7568
Phone
(815) 432-5411
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209010883 IL Primary

Addresses

Primary practice location

200 Laird LN
Watseka, IL 60970-7568

Mailing address

200 Laird LN
Watseka, IL 60970-7568
Phone (815) 432-5411

Other identifiers 1

IdentifierTypeStateIssuer
201287650MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jschroeder7821@Direct.riversidehealthcare.net Direct

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
I20140424000300 IL Practitioner - Nurse Practitioner 8820221070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crosspoint Human ServicesGroup PAC ID 0547212250, 9 clinicians

Practice addresses (Care Compare)

210 Ave C
Danville, IL 61832-5410
Phone (217) 442-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010883ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspoint Human Services CurrentSince Jun 1, 2023 Accepting new patients
Riverside Health System CurrentSince Jul 6, 2015 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Jan 1, 2014 Accepting new patients
Riverside Health System Current Accepting new patients

Locations

210 Avenue C
Danville, IL 61832
Phone (217) 442-3200

309 N Logan Ave
Danville, IL 61832
Phone (217) 431-1785

720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

200 Laird Ln
Watseka, IL 60970
Phone (815) 429-3314

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: jschroeder7821@direct.riversidehealthcare.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1851721948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAIRD LN",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609707568",
            "telephone_number": "815-432-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAIRD LN",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609707568",
            "telephone_number": "815-432-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JANELLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201287650",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschroeder7821@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Laird Ln",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609707568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

Verify at the official NPI Registry.