Dominique Ely, AGACNP-BC
Dominique Ely, AGACNP-BC is a Nurse Practitioner in Decatur, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2013, 13 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 13
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 4
Practice location Address checks out
302 W Hay St Ste 140Decatur, IL 62526-4168
Phone: (217) 872-2713
Fax: (217) 545-1958
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 747 N Rutledge St Fl 4, Springfield, IL 62702-6700 — (217) 545-8000
- 611 W Park St, Urbana, IL 61801-2500 — (217) 383-3129
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 209011112 (IL) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 209011112 (IL) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 209011112 (IL) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 209011112 (IL) |
Record details
| NPI number | 1629490081 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP-BC |
| Sole proprietor | No |
| NPI enumerated | January 20, 2014 |
| Last updated in NPPES | September 24, 2024 |
| Certification date | September 24, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 2013 (13 years in practice) |
| Group practice | Siu Physicians And Surgeons Inc — 316 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Decatur
-
Morgan Elizabeth Ashby
2300 N Edward St, Decatur, IL 62526-4192 · (217) 876-4440
-
Jason Blanchetti, NP
1750 E Lake Shore Dr, Decatur, IL 62521-3803 · (217) 464-1440
-
Jennifer Nicole Born, NP
210 W McKinley Ave, Decatur, IL 62526-5858 · (217) 876-6600
-
Mary Coventry, NP
2981 N Main St, Decatur, IL 62526-3259 · (217) 877-9775
-
Alexis Renee Graven
2300 N Edward St Ste 2400, Decatur, IL 62526-4163 · (217) 876-2400
-
Susan Elizabeth Griffin, FNP
150 S Fairview Ave, Decatur, IL 62522-2852 · (217) 424-6360
-
Julianne A Hardnett, FNP-C
151 N Main St, Decatur, IL 62523-1206 · (217) 362-6262
-
Kaitlyn P Kohler, NP
302 W Hay St, Decatur, IL 62526-4167 · (217) 545-8000