OrganizationActive
Prime Medical Services, LLC
NPI 1306396148 · Gerontology Nurse Practitioner · Bloomington, IL
Provider details
- NPI number
- 1306396148
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- David Underwood, Exec Vp & Cfo(309) 823-7135
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
115 W Jefferson St
Suite 401
Bloomington, IL 61701-3946
Phone: (309) 828-4361
Street-level locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Prime Medical Services
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.