Individual provider Active NPI

Rachel Hoselton, NP

  • Pediatric Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1871986414
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0991369NP Issued in CO
Practice address
400 N 9TH St FL 4
Springfield, IL 62702
Phone
(217) 545-8000
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0200X 041372723 IL
Pediatric Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0200X 1628301 CO
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X APN0991369NP CO Primary

Addresses

Primary practice location

400 N 9TH St FL 4
Springfield, IL 62702

Mailing address

201 E Madison St Ste 300
Springfield, IL 62702-5131
Phone (217) 545-8000

Other practice location 1

919 Jasmine St
Denver, CO 80220-4588
Phone (303) 388-4256

Other practice location 2

919 Jasmine St
Denver, CO 80220-4588
Phone (303) 388-4256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0991369NPCOMDPediatric Nurse Practitioner
1628301COMDPediatric Clinical Nurse Specialist
041372723ILMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc Past Accepting new patients
Siu Physicians & Surgeons, Inc Single Specialty Past Accepting new patients

Organizations & group practices 2

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1871986414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MADISON ST STE 300",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025131",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 9TH ST FL 4",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702",
            "telephone_number": "217-545-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 Jasmine St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802204588",
            "country_code": "US",
            "telephone_number": "303-388-4256",
            "fax_number": "303-388-7802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 Jasmine St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802204588",
            "country_code": "US",
            "telephone_number": "303-388-4256",
            "fax_number": "303-388-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSELTON",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "IL",
            "license": "041372723",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CO",
            "license": "1628301",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN0991369NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.