IndividualActive
Geralyn Prullage, APN
NPI 1164723656 · Neonatal Nurse Practitioner · Springfield, IL
Provider details
- NPI number
- 1164723656
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041207587 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
415 N 9th St Ste 4w16
Springfield, IL 62702-5303
Phone: (217) 545-8000
Street-level locationGet directions
Mailing address
201 E Madison St Ste 328
Springfield, IL 62702-5131
Additional practice locations (2)
- 2910 Gilbert LnAlton, IL 62002-5504Phone: (618) 363-2707
- 9515 Holy Cross LnBreese, IL 62230-3618Phone: (618) 526-4511
Registry dates
- Enumerated
- 2010-11-15
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.