Connie A Duda, CFNP
Individual provider Active NPI Family Nurse Practitioner · Lincoln, IL
NPI 1881669760 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1881669760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209002447 (IL)
- Practice address
- 515 N College St
Lincoln, IL 62656-1401 - Phone
- (217) 732-9681
- Fax
- (217) 735-6527
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proctor Health Systems
Carle Health Care Incorporated
Methodist Medical Center of Illinois
Practice addresses (Care Compare)
1120 E War Memorial Dr
Peoria, IL 61616-7757
Phone (309) 685-4411
221 NE Glen Oak
Peoria, IL 61636-0001
Phone (309) 672-5522
3591 Griffin Ave
Pekin, IL 61554-6258
3915 Barring Trce
Peoria, IL 61615-2500
Phone (309) 689-6280
5401 N Knoxville Ave
Peoria, IL 61614-5021
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone (309) 691-9110
Hospital & facility affiliations
- Carle Home Care
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050715000307 | IL | Practitioner - Nurse Practitioner | 2769418219 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Family | Current |
Accepting new patients |
| Proctor Health Systems | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Springfield Clinic, LLP | Past | Accepting new patients | |
| Epss Peoria LLC | Past | Accepting new patients | |
| Clinical Radiologists, S.C. | Past | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Proctor Emergency Physicians, P.C. | Past | Accepting new patients |
Locations
2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000
6831 N Peartree Ln
Peoria, IL 61615
Phone (309) 691-1250
815 Main St
Ste A1
Peoria, IL 61602
5401 N Knoxville Ave
Ste 207
Peoria, IL 61614
Phone (309) 672-4640
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030
8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209002447 | IL | Yes |
Addresses
Primary practice location
515 N College St
Lincoln, IL 62656-1401
Mailing address
515 N College St
Lincoln, IL 62656-1401
Phone (217) 732-9681
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041-253531 | Other | IL | RN LICENSE |
Other providers in Lincoln, IL
- Bruce Anderson Demont
- Kristin Denkler
- Lynn Marie Dennis
- Cynthia Dorchinecz
- Carie Marie Dorn
- Dva Renal Healthcare Inc
- Karen R Dzekunskas
- Christine Eckert
- Cynthia Lynn Edwards
- Dianne Maria Endress
All providers in Lincoln, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.