Individual provider Active NPI

Chris Wassell, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, IL
National Provider Identifier
1912546326
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020620 Issued in IL
Practice address
901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Phone
(217) 588-6140
Fax
(217) 588-3043
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020620 IL Primary

Addresses

Primary practice location

901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021

Mailing address

901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Phone (217) 588-6140

Other identifiers 1

IdentifierTypeStateIssuer
041297456OtherILRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20200921002793 IL Practitioner - Nurse Practitioner 4981022084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Blessingcare CorporationGroup PAC ID 2769420959, shared by 5 NPIs, 18 clinicians

Practice addresses (Care Compare)

640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 223-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020620ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blessingcare Corporation Current Accepting new patients
Blessingcare Corporation Current Accepting new patients
Blessingcare Corporation CurrentSince May 12, 2020 Accepting new patients
Blessingcare Corporation Current Accepting new patients

Locations

640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113

1005 Broadway St
Quincy, IL 62301

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 1

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1912546326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MORTON AVE STE 22",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626504021",
            "telephone_number": "217-588-6140",
            "fax_number": "217-588-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MORTON AVE STE 22",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626504021",
            "telephone_number": "217-588-6140",
            "fax_number": "217-588-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSELL",
        "first_name": "CHRIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "041297456",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

Sources for this page

Verify at the official NPI Registry.