Central Illinois Family Practice
NPI 1558665596 · Family Nurse Practitioner · Danville, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Illinois Family Practice is a Family Nurse Practitioner organization in Danville, IL (NPI 1558665596).
Provider details
- NPI number
- 1558665596
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Michael Wagner, Family Nurse Practitioner(217) 213-5254
- License
- 209003483041 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
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
Mailing address
Registry dates
- Enumerated
- 2011-01-05
- Last updated
- 2011-01-05
Frequently asked questions
- What is Central Illinois Family Practice's NPI number?
- Central Illinois Family Practice's National Provider Identifier (NPI) is 1558665596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Family Practice?
- Central Illinois Family Practice is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Central Illinois Family Practice located?
- Central Illinois Family Practice's practice location on file with NPPES is 603 N Logan Ave, Danville, IL 61832-4320.
- What is Central Illinois Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Family Practice is (217) 213-5254.
- Does Central Illinois Family Practice accept Medicare?
- Central Illinois Family Practice is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central Illinois Family Practice?
- The authorized official listed on Central Illinois Family Practice's NPPES record is Michael Wagner, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Family Practice's NPI active?
- Yes — Central Illinois Family Practice's NPI (1558665596) is active in the NPPES registry as of the last update on 2011-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.