Maryanne F Flint, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020414 Issued in IL

Practice address

3408 Office Park Dr
Marion, IL 62959-6477

Phone

(618) 997-5266

Fax

(833) 431-2272

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maryanne Smith Former name

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Women'S Healthcare LTD 29 clinicians

Deaconess Illinois Clinic Inc 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryanne.flint.1@21608.direct.athenahealth.com

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.

• Deaconess Illinois Clinic, Inc

  • Family Medicine Physician
  • Columbia, IL
  • NPI 1962128256

  IL

  Medicare reassignment Care Compare group NPD
• Heartland Women'S Healthcare LTD

  • Obstetrics & Gynecology Physician
  • Marion, IL
  • NPI 1851307532

  IL

  Medicare reassignment Care Compare group NPD
• Heartland Women'S Healthcare LTD

  • Rural Health Clinic/Center
  • Marion, IL
  • NPI 1285108621
  Care Compare group NPD (past)
• Heartland Women'S Healthcare, LTD

  • Rural Health Clinic/Center
  • Mount Vernon, IL
  • NPI 1801280409
  Care Compare group
• Deaconess Illinois Clinic, Inc

  • Family Medicine Physician
  • Harrisburg, IL
  • NPI 1285350504
  NPD
• Deaconess Illinois Clinic, Inc

  • Family Medicine Physician
  • Carterville, IL
  • NPI 1326836206
  NPD
• Heartland Women'S Healthcare LTD

  • Clinical Medical Laboratory
  • Swansea, IL
  • NPI 1043852932
  NPD
• Deaconess Illinois Clinic, Inc

  • Family Medicine Physician
  • Marion, IL
  • NPI 1063104206
  NPD (past)
• Deaconess Illinois Clinic, Inc

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1245956523
  NPD (past)
• Heartland Women'S Healthcare Il PC

  • Obstetrics & Gynecology Physician
  • Shiloh, IL
  • NPI 1568057131
  NPD (past)

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1992343248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "618-997-5266",
            "fax_number": "833-431-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "618-997-5266",
            "fax_number": "833-431-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Walnut St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629013132",
            "country_code": "US",
            "telephone_number": "618-997-5266",
            "fax_number": "833-431-2272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W DeYoung St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629591630",
            "country_code": "US",
            "telephone_number": "618-993-5274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLINT",
        "first_name": "MARYANNE",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.020414",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANNE",
            "last_name": "SMITH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice Fisher
• Jacklyn M Fitzpatrick, AGNP-C
• Louis Flagin, PA-C
• Kara Danielle Flatt, APN
• Alexis Fletcher, PHARMD
• Patrice Flynn
• Kimberly S Forbes, RPH
• Sarah B Ford, NNP, FNP
• Cassius Foster, BA
• John Patrick Fowler, LPN

• All providers in Marion, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.