Main Street Medical Clinic Llc

ActiveOrganizationNurse Practitioner
NPI issued: November 21, 2006

Quick Facts

NPI Number
1649345125
TypeOrganization
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(618) 435-4310
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1649345125)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 21, 2006)
Data source: CMS NPPES

Provider Overview

MAIN STREET MEDICAL CLINIC LLC is a Nurse Practitioner provider based in Benton, IL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1649345125
Provider TypeOrganization
StatusActive
Enumeration DateNovember 21, 2006

Practice Location

CityBenton
StateIL
ZIP Code62812-1102
Phone(618) 435-4310

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateIL

Mailing Address

CityBenton
StateIL
ZIP Code62812-1102
Phone(618) 435-4310
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1649345125 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1649345125for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1649345125 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

📊
224,221
Nurse Practitioner Providers in the US

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People Also Ask

What is Main Street Medical Clinic Llc's NPI number?
Main Street Medical Clinic Llc's NPI number is 1649345125, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Main Street Medical Clinic Llc's NPI currently active?
Yes, Main Street Medical Clinic Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Main Street Medical Clinic Llc specialize in?
Main Street Medical Clinic Llc specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Main Street Medical Clinic Llc practice?
Main Street Medical Clinic Llc practices in Benton, IL 62812-1102.
When was Main Street Medical Clinic Llc's NPI issued?
Main Street Medical Clinic Llc's NPI was issued on November 21, 2006.
What is Main Street Medical Clinic Llc's provider type?
Main Street Medical Clinic Llc is registered as an Organization under CMS NPI Type 2.