Individual provider Active NPI

Colleen Elliott-McCandless, APN

  • Family Nurse Practitioner
  • Normal, IL
National Provider Identifier
1992171698
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013060 Issued in IL
Practice address
1304 Franklin Ave Ste 380
Normal, IL 61761-3558
Phone
(309) 268-5130
NPI assigned
Aug 17, 2015
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address colleen.elliottmccandless@direct.warnerhospital.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151001002693 IL Practitioner - Nurse Practitioner 8022326578 Reassigns benefits to 7 organizations
I20260317000714 WI Practitioner - Nurse Practitioner 8022326578 Reassigns benefits to 1 organization

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 IncGroup PAC ID 9830008259, shared by 7 NPIs, 57 clinicians
Apogee Medical Group Wisconsin SCGroup PAC ID 2365677952, 42 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

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

LicenseStateTypeSpecialty
209013060ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group CurrentSince Oct 4, 2025 Accepting new patients
Midwest Emergency Department Specialists LTD CurrentSince Aug 31, 2015 Accepting new patients
City of Clinton CurrentSince Dec 5, 2019 Accepting new patients
Carle West Physician Group Inc CurrentSince Jan 26, 2023 Accepting new patients
Epss LLC - Central Series CurrentSince Feb 15, 2021 Accepting new patients
Apogee Medical Group, Wisconsin, S.C CurrentSince Mar 1, 2026 Accepting new patients
Epss Peoria LLC CurrentSince Feb 15, 2021 Accepting new patients
Cepamerica Illinois LLP CurrentSince May 2, 2024 Accepting new patients
City of Clinton CurrentSince Dec 5, 2019 Accepting new patients
Cepamerica Illinois LLP CurrentSince May 2, 2024 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

  • Direct secure messaging: celliottmccandlessaprn361565@carlehiedirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.