Individual provider Active NPI

Viola Michelle Oliver, FNP

  • Family Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1871078378
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.018030 Issued in IL
Practice address
1115 N Wenthe Dr
Effingham, IL 62401-1612
Phone
(618) 665-3259
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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 209.018030 IL Primary

Addresses

Primary practice location

1115 N Wenthe Dr
Effingham, IL 62401-1612

Mailing address

740 Garden St
Louisville, IL 62858-1164
Phone (618) 572-3374

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
I20191120000140 IL Practitioner - Nurse Practitioner 3870925423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Practice addresses (Care Compare)

410 E Mack Ave
Olney, IL 62450-2319
Phone (710) 658-6338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.018030ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iroquois Memorial Hospital and Resident Home CurrentSince Dec 7, 2021 Accepting new patients
Ultacare Medical PLLC CurrentSince Jun 17, 2022 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Dec 7, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 14, 2019 Accepting new patients

Locations

40 N 64th St
Belleville, IL 62223
Phone (618) 397-8400

1115 N Wenthe Dr
Effingham, IL 62401
Phone (217) 247-7121

210 E College St
Energy, IL 62933
Phone (618) 942-7014

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

410 E Mack Ave
Olney, IL 62450
Phone (618) 395-7421

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

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1871078378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 GARDEN ST",
            "city": "LOUISVILLE",
            "state": "IL",
            "postal_code": "628581164",
            "telephone_number": "618-572-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N WENTHE DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011612",
            "telephone_number": "618-665-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "VIOLA",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.