NPIMap

Individual provider Active NPI

Janice A Vandeveer, MD

  • Family Medicine Physician
  • Neoga, IL
National Provider Identifier
1861654675
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036127176 Issued in IL
Practice address
650 Oak Ave
Neoga, IL 62447
Phone
(217) 895-2222
Fax
(217) 895-3598
NPI assigned
Jul 2, 2008
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036127176 IL Primary

Addresses

Primary practice location

650 Oak Ave
Neoga, IL 62447

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

1000 Health Center Dr
Mattoon, IL 61938-9253
Phone (217) 895-2222

Other practice location 2

934 N Route 49 Ste A
Casey, IL 62420-1454
Phone (217) 932-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000560 IL Practitioner - Family Practice 6002086337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

650 Oak Ave
Neoga, IL 62447-1502
Phone (217) 895-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036127176ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Aug 29, 2011 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

934 N Route 49
Ste A
Casey, IL 62420
Phone (217) 932-4061

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

650 Oak Ave
Neoga, IL 62447
Phone (217) 895-2222

Organizations & group practices 3

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 8

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1861654675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372",
            "fax_number": "217-258-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OAK AVE",
            "city": "NEOGA",
            "state": "IL",
            "postal_code": "62447",
            "telephone_number": "217-895-2222",
            "fax_number": "217-895-3598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619389253",
            "country_code": "US",
            "telephone_number": "217-895-2222",
            "fax_number": "217-895-3598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "934 N Route 49 Ste A",
            "address_purpose": "LOCATION",
            "city": "Casey",
            "state": "IL",
            "postal_code": "624201454",
            "country_code": "US",
            "telephone_number": "217-932-4061",
            "fax_number": "217-932-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEVEER",
        "first_name": "JANICE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neoga, IL

Sources for this page

Verify at the official NPI Registry.