Active NPI
Eva M Barger-Marcusiu, NP
- Nurse Practitioner
- Urbana, IL
National Provider Identifier
1902995749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209004771
- Practice address
- 611 W Park St
Urbana, IL 61801-2529 - Phone
- (217) 383-3605
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209004771 | IL | Primary |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2529
Mailing address
611 W. Park St.
Fapc
Urbana, IL 61801
Other practice location 1
1701 W Curtis Road
Family Medicine/Convenient Care
Champaign, IL 61822
Phone (217) 365-6201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200502310 | Medicaid | IN |
Other names 1
- Eva M Barger
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209004771 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illiana Emergency Physicians LLP | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Illiana Emergency Physicians, LLP | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Emergency Medicine Physician
- Greenville, IL
- NPI 1730426941
-
- Emergency Medicine Physician
- Danville, IL
- NPI 1164447058
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1902995749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-3605"
}
],
"practiceLocations": [
{
"address_1": "1701 W Curtis Road",
"address_2": "Family Medicine/Convenient Care",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "61822",
"country_code": "US",
"telephone_number": "217-365-6201",
"fax_number": "217-326-4003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARGER-MARCUSIU",
"first_name": "EVA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209004771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200502310",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EVA",
"last_name": "BARGER",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.