| Danielle Smith, | |
|
111 N 6th St Ste G1, Pekin, IL 61554-3320 | |
| (309) 810-4407 | |
| (309) 354-2041 |
| Full Name | Danielle Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 111 N 6th St Ste G1, Pekin, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962075382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209023572 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ensight Mental Health And Wellness Pllc | 3870093982 | 2 |
| Edgewood Clinical Services P.c. | 3971963901 | 304 |
| Entity Name | Edgewood Clinical Services P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Entity Name | Ensight Mental Health & Wellness PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841005857 PECOS PAC ID: 3870093982 Enrollment ID: O20250822004374 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Smith, 111 N 6th St Ste G1, Pekin, IL 61554-3320 Ph: (309) 810-4407 | Danielle Smith, 111 N 6th St Ste G1, Pekin, IL 61554-3320 Ph: (309) 810-4407 |
Emily Crebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Park Ave, Pekin, IL 61554 Phone: 309-346-7776 |
Kayla Ferman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822 |
Madeline Jo Gresham, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334 |
Jessica Verplaetse, PHD, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 N 6th St Ste G1, Pekin, IL 61554 Phone: 309-810-4407 |
Shauna L Bivens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Griffin Ave, Pekin, IL 61554 Phone: 309-347-4277 Fax: 309-347-4388 |
Ashley Jean Huette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 Court St, Pekin, IL 61554 Phone: 309-308-5100 |
Theresa Abbadusky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416 |