Lynette Eeten, APN
Individual provider Active NPI Nurse Practitioner · Canton, IL
NPI 1902276207 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1902276207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209.013158 (IL)
- Practice address
- 180 S Main St
Canton, IL 61520-2608 - Phone
- (309) 647-0201
- Fax
- (309) 649-6880
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graham Hospital Association
Practice addresses (Care Compare)
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
Hospital & facility affiliations
- Graham Hospital Association
- Graham Hospital Association
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 62.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.37
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 |
|---|---|---|---|---|
| I20151103000833 | IL | Practitioner - Nurse Practitioner | 6709196777 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013158 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current |
Accepting new patients | |
| Graham Hospital Association | Current |
Accepting new patients | |
| Graham Hospital Association | Past | Accepting new patients |
Locations
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
175 S Main St
Canton, IL 61520
Phone (309) 647-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.013158 | IL | Yes |
Addresses
Primary practice location
180 S Main St
Canton, IL 61520-2608
Mailing address
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209.013158 | Other | IL | LICENSE |
Other names
- Lynette Edwards
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lynette.eeten@gmail.eclinicaldirectplus.com | Health Information Exchange (HIE) | GRAHAM HOSPITAL ASSOCIATION |
| Direct Messaging Address | lynette.eeten@gmgileclinicaldirectplus.com | Health Information Exchange (HIE) | Graham Hospital Association |
Other providers in Canton, IL
- Melissa Easley
- Lorna Eaton
- Mary J Eberle
- Valerie G Edwards-Peterson
- Della Eeten
- Thomas E Eiselt
- Bethany Eitenmiller
- Mohamed Elsadek
- Anthony James Esslinger
- Gloen B Fabila
All providers in Canton, IL · 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 Apr 6, 2021. 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.