Joshua Michael Auer, APRN
Individual provider Active NPI Family Nurse Practitioner · Peoria, IL
NPI 1962038356 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1962038356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.020790 (IL)
- Practice address
- 7309 N Knoxville Ave
Peoria, IL 61614-2085 - Phone
- (309) 692-9898
- Fax
- (309) 692-9055
- NPI assigned
- Mar 17, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ameriwound Physicians Il LLC
Practice addresses (Care Compare)
1650 Old Indian Town Rd
Henry, IL 61537-1082
Phone (309) 364-3905
Hospital & facility affiliations
- Carle Health Methodist Hospital
- Saint Francis Medical Center
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 |
|---|---|---|---|---|
| I20200330002300 | IL | Practitioner - Nurse Practitioner | 6002245883 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.020790 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Urological Group, LTD. | Current |
Accepting new patients | |
| Ameriwound Physicians Il LLC | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
129 S 1st Ave
Canton, IL 61520
Phone (309) 647-4327
1101 E State St
Geneva, IL 60134
Phone (630) 208-1876
1650 Old Indian Town Rd
Henry, IL 61537
Phone (309) 364-3905
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
7309 N Knoxville Ave
Ste 1
Peoria, IL 61614
Phone (309) 643-6105
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
4957 Oakton St
Skokie, IL 60077
Phone (773) 308-8934
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.020790 | IL | Yes |
Addresses
Primary practice location
7309 N Knoxville Ave
Peoria, IL 61614-2085
Mailing address
7309 N Knoxville Ave
Peoria, IL 61614-2085
Phone (309) 692-9898
Other providers in Peoria, IL
- Angel D Atkins
- Devon Alicia Atkins
- Michaeleen Atkisson
- Kaylee Atria
- Bethany Atterberry
- Lauren Hope Auer
- Samantha Mae Aufderhaar
- John E Augspurger
- Cynthia Angela Augustin
- Bhagat Aulakh
All providers in Peoria, IL · Family 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 Mar 17, 2020. 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.