Individual provider Active NPI

Robert Justin Duprey, FNP

  • Family Nurse Practitioner
  • Danville, IL
National Provider Identifier
1891290839
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03180890 Issued in IL
Practice address
707 N Logan Ave
Danville, IL 61832-4360
Phone
(217) 446-6410
Fax
(217) 477-4757
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F03180890 IL
Nurse Practitioner 363L00000X 28249457A IN
Family Nurse Practitioner 363LF0000X F03180890 IL Primary

Addresses

Primary practice location

707 N Logan Ave
Danville, IL 61832-4360

Mailing address

120 Woodlawn Ave
Danville, IL 61832-8449
Phone (217) 474-1914

Other practice location 1

120 Woodlawn Ave
Danville, IL 61832-8449
Phone (217) 474-1914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190321000220 IN Practitioner - Nurse Practitioner 5890059208 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
My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians
My Mobile MD Indiana LLCGroup PAC ID 9830607605, 29 clinicians

Practice addresses (Care Compare)

429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03180890ILMDNurse Practitioner
28249457AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Apr 1, 2019 Accepting new patients
My Mobile MD Indiana LLC CurrentSince Dec 30, 2025 Accepting new patients
My Mobile MD LLC CurrentSince Jan 8, 2024 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

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.

Hospital & facility affiliations 6

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1891290839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WOODLAWN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618328449",
            "telephone_number": "217-474-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324360",
            "telephone_number": "217-446-6410",
            "fax_number": "217-477-4757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618328449",
            "country_code": "US",
            "telephone_number": "217-474-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPREY",
        "first_name": "ROBERT",
        "middle_name": "JUSTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "F03180890",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28249457A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F03180890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.