Christine Elie Hermosillo, NP-C

Key facts

NPI

1962838862

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

277.0019918 (IL)

Practice address

600 E 1St St
Spring Valley, IL 61362-1512

Phone

(815) 664-4308

Fax

(815) 663-1938

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 17

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.

• Pai Participant 27, PC Geriatric Medicine (Internal Medicine) Physician · Willowbrook, IL · NPI 1093398539
  Medicare reassignment Care Compare group NPD IL
• T4 Medical PLLC Family Medicine Physician · Boone, NC · NPI 1699546861
  Medicare reassignment Care Compare group NPD IL
• 24 On Physicians, PC Hospitalist Physician · Ottawa, IL · NPI 1346480431
  Medicare reassignment NPD IL
• Applebaum Physiatry PLLC Physical Medicine & Rehabilitation Physician · Oak Brook, IL · NPI 1700598059
  Medicare reassignment NPD FAMILY · IL
• Mendota Community Hospital Family Medicine Physician · Mendota, IL · NPI 1407872997
  Medicare reassignment NPD IL
• Osf Healthcare System Rural Health Clinic/Center · Monmouth, IL · NPI 1679606073
  Medicare reassignment NPD IL
• Osf Multi-Specialty Group Internal Medicine Physician · Peoria, IL · NPI 1922445527
  Medicare reassignment NPD IL
• Ottawa Regional Hospital & Healthcare Center General Acute Care Hospital · Ottawa, IL · NPI 1306971080
  Medicare reassignment NPD IL
• Saint James Hospital Rural Health Clinic/Center · Streator, IL · NPI 1891399432
  Medicare reassignment NPD IL
• Integrative Primary Care Inc Primary Care Clinic/Center · Ottawa, IL · NPI 1538974977
  NPD Authorized official
• Mendota Community Hospital Rural Health Clinic/Center · Granville, IL · NPI 1225877590
  NPD
• Mendota Community Hospital Emergency Medicine Physician · Mendota, IL · NPI 1417973900
  NPD
• Osf Healthcare System General Acute Care Hospital · Dixon, IL · NPI 1508683590
  NPD
• Ottawa Regional Hospital & Healthcare Center Family Medicine Physician · Marseilles, IL · NPI 1558088203
  NPD
• Saint James Hospital Rural Health Clinic/Center · Roanoke, IL · NPI 1164138848
  NPD
• 24 On Physicians, P.C. Hospitalist Physician · Attleboro, MA · NPI 1790104511
  NPD
• Central PA Pharmacy LLC. Community/Retail Pharmacy · Patton, PA · NPI 1578541413
  NPD

Hospital & facility affiliations 1

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

• Ottawa Regional Hospital & Healthcare Center General Acute Care Hospital · Peru, IL · NPI 1588713440
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T4 Medical PLLC (30 clinicians)
Pai Participant 27, PC (9 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Saint Elizabeth MDL Ctr Hospital · Peru, IL · CCN 140110

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

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 22, 2022.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1962838862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-4308",
            "fax_number": "815-663-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOSILLO",
        "first_name": "CHRISTINE",
        "middle_name": "ELIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.0019918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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