Active NPI
Janine Maere, MD
- Family Medicine Physician
- Normal, IL
National Provider Identifier
1891894622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-105714
- Practice address
- 211 Landmark Dr
Suite E1
Normal, IL 61761-2160 - Phone
- (309) 268-9304
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-105714 | IL | Primary |
Addresses
Primary practice location
211 Landmark Dr
Suite E1
Normal, IL 61761-2160
Mailing address
211 Landmark Dr
Suite E1
Normal, IL 61761-2160
Phone (309) 268-9304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105714 | Medicaid | IL | |
| 833120 | Other | MEDICARE GROUP # FOR BLOOMINGTON |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-105714 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Medical Center | Family Medicine | Past | Accepting new patients |
| Gibson Community Hospital Association | 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.
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1891894622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 LANDMARK DR",
"address_2": "SUITE E1",
"city": "NORMAL",
"state": "IL",
"postal_code": "617612160",
"telephone_number": "309-268-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 LANDMARK DR",
"address_2": "SUITE E1",
"city": "NORMAL",
"state": "IL",
"postal_code": "617612160",
"telephone_number": "309-268-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAERE",
"first_name": "JANINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-105714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105714",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP # FOR BLOOMINGTON",
"identifier": "833120",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.