Individual provider Active NPI

Erin Rose Thurston, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1942076906
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209028712 Issued in IL
Practice address
2806 N Knoxville Ave
Peoria, IL 61604-2870
Phone
(309) 263-2424
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209028712 IL Primary

Addresses

Primary practice location

2806 N Knoxville Ave
Peoria, IL 61604-2870

Mailing address

610 N Main St
Washington, IL 61571-1527
Phone (618) 772-4368

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
I20240320000597 IL Practitioner - Nurse Practitioner 6002253515 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209028712ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Aug 21, 2024 Accepting new patients
Saint James Hospital CurrentSince Mar 7, 2024 Accepting new patients
Osf Healthcare System CurrentSince Aug 21, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 7, 2024 Accepting new patients
Osf Healthcare System Current Accepting new patients
Saint James Hospital CurrentSince Mar 7, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital Current Accepting new patients
Saint James Hospital Past Accepting new patients
Osf Healthcare System Past Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations (25 of 32)

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

7601 S Cicero Ave
Ste P9A
Chicago, IL 60652
Phone (708) 907-4355

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1715 N Division St
Ste 4D
Morris, IL 60450

1715 N Division St
Ste 5E
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

3422 Court St
#A
Pekin, IL 61554
Phone (309) 477-6000

3626 N Sheridan Rd
Peoria, IL 61604

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5209 W War Memorial Dr
Peoria, IL 61615

10408 N Centerway Dr
Ste C
Peoria, IL 61615

5905 N Prospect Rd
Peoria, IL 61614

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1942076906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711527",
            "telephone_number": "618-772-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042870",
            "telephone_number": "309-263-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "ERIN",
        "middle_name": "ROSE",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209028712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.