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

Carolyn Hagerty, FNP-BC

Individual provider Nurse Practitioner · NPI 1942954169

Carolyn Hagerty, FNP-BC is a Nurse Practitioner in Bloomington, Illinois. Qualified in 2021, 5 years ago. Practices with Applebaum Physiatry PLLC, a 137-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112
Phone: (309) 663-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 908 N Elm St Ste 301, Hinsdale, IL 60521-3625 — (630) 794-9999
  • 1603 Visa Dr, Normal, IL 61761-2131 — (309) 268-9000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.024736 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 2029.024736 (IL)

Record details

NPI number1942954169
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedFebruary 7, 2022
Last updated in NPPESOctober 3, 2024
Certification dateOctober 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Applebaum Physiatry Pllc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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