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

Cody E Bilderback, FNP

Individual provider Family Nurse Practitioner · NPI 1467890657

Cody E Bilderback, FNP is a Nurse Practitioner in Alton, Illinois. Qualified in 2013, 13 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
13
Licensed in
IL, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4 Memorial Dr Ste 230B
Alton, IL 62002-6705
Phone: (618) 463-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11125 Dunn Rd, Saint Louis, MO 63136-6132 — (314) 653-5484

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209010451 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2013012822 (MO)

Record details

NPI number1467890657
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 10, 2013
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address4 Memorial Dr Ste 230b, Alton, IL 62002-6705

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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