Justin Joseph Couch, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014394 Issued in IL

Practice address

2200 E Washington St
Bloomington, IL 61701-4364

Phone

(309) 662-3311

NPI assigned

Jul 18, 2016

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 30)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Memorial Physician Services

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1174877930
  Medicare reassignment Care Compare group
• Premier Medical Group, LLC

  • Surgery Physician
  • Bloomington, IL
  • NPI 1942501978
  Medicare reassignment NPD
• Saint James Hospital

  dba Saint James Hospital - Multiple Hospital Departments

  • Anesthesiology Physician
  • Pontiac, IL
  • NPI 1790735421
  Medicare reassignment NPD
• St Joseph Medical Center

  dba OSFMG - Bloomington

  • Family Medicine Physician
  • Bloomington, IL
  • NPI 1871547414

  Nurse Practitioner

  Medicare reassignment NPD
• Bloomington Medical Laboratory Physicians, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bloomington, IL
  • NPI 1841229507
  NPD
• Memorial Physician Services

  dba Memorial ExpressCare

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1275065906

  Nurse Practitioner

  NPD
• Memorial Physician Services

  • Rural Health Clinic/Center
  • Jacksonville, IL
  • NPI 1528741147
  NPD
• Premier Medical Group, LLC

  dba Drs. Kulb, Chalian and Leak Urology

  • Urology Physician
  • Bloomington, IL
  • NPI 1427357227
  NPD
• Saint James Hospital

  dba OSF Healthcare - Medical Group - Roanoke

  • Rural Health Clinic/Center
  • Roanoke, IL
  • NPI 1164138848
  NPD
• St Joseph Medical Center

  dba OSF Saint Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806
  NPD
• St Joseph Medical Center

  dba OSF Saint Joseph Medical Center

  • Emergency Medicine Physician
  • Bloomington, IL
  • NPI 1659552859
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1922451681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617020608",
            "telephone_number": "309-287-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014364",
            "telephone_number": "309-662-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 E US Route 36",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625215003",
            "country_code": "US",
            "telephone_number": "217-876-5320",
            "fax_number": "217-876-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUCH",
        "first_name": "JUSTIN",
        "middle_name": "JOSEPH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.014394",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Costello-McKee
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• Andrea Sue Coston, LSW
• Cottage Dental Care LLC
• Kristine L Cottone, P.T.
• Laura Coughlin
• John Francis Couillard, O.D.
• Phyllis Joan Coulter, FNP
• Counseling Resource Institute LLC
• Countermeasures, Inc.

• Family Nurse Practitioner in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.