Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Medical Services, LLC

Organization Gerontology Nurse Practitioner · NPI 1306396148

Prime Medical Services, LLC is a Gerontology Nurse Practitioner in Bloomington, Illinois. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 W Jefferson St Ste 401
Bloomington, IL 61701-3946
Phone: (309) 828-4361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1306396148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Underwood — Exec Vp & Cfo · (309) 823-7135
Other names Prime Medical Services
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing address115 W Jefferson St, Suite 401, Bloomington, IL 61701-3946

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