Active NPI
Colleen Elliott-McCandless, APN
- Family Nurse Practitioner
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209013060
- Practice address
- 1304 Franklin Ave Ste 380
Normal, IL 61761-3558 - Phone
- (309) 268-5130
- NPI assigned
- Aug 17, 2015
- Last updated
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013060 | IL | Primary |
Addresses
Primary practice location
1304 Franklin Ave Ste 380
Normal, IL 61761-3558
Mailing address
611 W Park St
Fapc
Urbana, IL 61821-2500
Other practice location 1
422 W White St
Clinton, IL 61727-2272
Phone (217) 937-5284
Other names 1
- Colleen Elliott
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | colleen.elliottmccandless@direct.warnerhospital.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reedsburg Area Medical Center Inc
Practice addresses (Care Compare)
110 E Main St
Reedsburg, WI 53959-1936
Phone (608) 768-3900
1104 21St St
Reedsburg, WI 53959-1156
Phone (608) 768-3900
1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (214) 666-9604
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 661-5111
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
3024 E Empire St
Bloomington, IL 61704-5402
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013060 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Medical Group | Current | Accepting new patients | |
| Midwest Emergency Department Specialists LTD | Current | Accepting new patients | |
| City of Clinton | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Epss LLC - Central Series | Current | Accepting new patients | |
| Apogee Medical Group, Wisconsin, S.C | Current | Accepting new patients | |
| Epss Peoria LLC | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| City of Clinton | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
422 W White St
Clinton, IL 61727
Phone (217) 935-9570
1304 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3598
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
Interoperability endpoints
- celliottmccandlessaprn361565@carlehiedirect.net
- colleen.elliottmccandless@direct.warnerhospital.org
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
dba Warner Hospital and Health Services
- Critical Access Hospital
- Clinton, IL
- NPI 1275695470
-
- Emergency Medicine Physician
- Pekin, IL
- NPI 1538680467
-
- Emergency Medicine Physician
- Peoria, IL
- NPI 1831421056
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Family Medicine Physician
- Algonquin, IL
- NPI 1902182108
-
dba Warner Hospital and Health Services
- Critical Access Hospital
- Clinton, IL
- NPI 1891873816
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1992171698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618212500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FRANKLIN AVE STE 380",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613558",
"telephone_number": "309-268-5130"
}
],
"practiceLocations": [
{
"address_1": "422 W White St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "IL",
"postal_code": "617272272",
"country_code": "US",
"telephone_number": "217-937-5284",
"fax_number": "217-937-5280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT-MCCANDLESS",
"first_name": "COLLEEN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2024-05-09",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013060",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "colleen.elliottmccandless@direct.warnerhospital.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "422 W White St",
"city": "Clinton",
"state": "IL",
"country_code": "US",
"postal_code": "617272272",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "ELLIOTT",
"credential": "APN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.