Saint Francis Medical Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

002394 Issued in IL

Legal business name

SAINT FRANCIS MEDICAL CENTER

Practice address

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Phone

(309) 655-2000

NPI assigned

May 19, 2006

Organization subpart

Yes

Parent organization

OSF HEALTHCARE SYSTEMAs reported in NPPES

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

Authorized official

Name

Robert C. Sehring

Title

Chief Executive Officer

Phone

(309) 655-2850

Specialties & licenses 15

Addresses

Other identifiers 1

Other names 2

• Multiple Hospital Departments Doing business as
• OSF Saint Francis Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Saint Francis Medical Center

  • Physical Medicine & Rehabilitation Physician
  • Peoria, IL
  • NPI 1023062312

  O20080303000228

  Same enrollment
• Saint Francis Medical Center

  • Neurology Physician
  • Peoria, IL
  • NPI 1154370195

  O20080303000228

  Same enrollment
• Saint Francis Medical Center

  • Radiation Oncology Physician
  • Peoria, IL
  • NPI 1295785632

  O20080303000228

  Same enrollment
• Saint Francis Medical Center

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1306890033

  O20080303000228

  Same enrollment
• Saint Francis Medical Center

  • Radiation Oncology Physician
  • Normal, IL
  • NPI 1306941760

  O20080303000228

  Same enrollment
• Saint Francis Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Peoria, IL
  • NPI 1952351397

  O20080303000228

  Same enrollment

Part of

Eastland Med Plaza Surg

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Osf Healthcare System

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1093370108

  Member Of

  NPD member

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Spangler Batek, M.D.

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1619077328
  NPD
• Tara M Behrens

  • Nurse Practitioner
  • Peoria, IL
  • NPI 1457904831
  NPD
• Susan B Bordenave-Bishop, DMD

  • General Practice Dentistry
  • Peoria, IL
  • NPI 1568586386
  NPD
• Laura K Bowers, NNP-BC

  • Neonatal Nurse Practitioner
  • Springfield, IL
  • NPI 1023346582
  NPD
• Thomas Kevin Brattain, DPM

  • Podiatrist
  • Peoria, IL
  • NPI 1285613463
  NPD
• Timothy Dale Bromley, M.A., L.C.P.C.

  • Professional Counselor
  • Peoria, IL
  • NPI 1922158005
  NPD
• Kristen Leigh Brosch, LCPC

  • Social Worker
  • West Peoria, IL
  • NPI 1821511270
  NPD
• Daniel Solomon Martin Brown, PH.D.

  • Clinical Neuropsychologist
  • Peoria, IL
  • NPI 1568818060
  NPD
• Kylie Ann Cavanah

  • Nurse Practitioner
  • Peoria, IL
  • NPI 1598310492
  NPD
• Lisa Gail Childers, LCSW

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1700301058
  NPD
• Kara Sue Cicciarelli, PHD, NCSP, LCP

  • Clinical Psychologist
  • Peoria, IL
  • NPI 1609606565
  NPD
• Emily E Cooper, AUD

  • Audiologist
  • Peoria, IL
  • NPI 1578110680
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1962456764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW ADAMS ST",
            "address_2": "ATTN: STRATEGIC REIMBURSEMENT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021308",
            "telephone_number": "309-655-2850",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "002394",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "002394",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "002394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multiple Hospital Departments",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF Saint Francis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saint Francis Medical Center
• Saint Francis Medical Center
• Saint Francis Medical Center
• Saint Francis Medical Center
• Saint Francis Medical Center
• Saint Francis Medical Center
• Samar Sajid, MD
• Salah Trans LLC
• Nicholas James Salay, M.D.
• Rasha Saleem, MD

• Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.