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

Jeremy Elliott

Individual provider Family Nurse Practitioner · NPI 1003416546

Jeremy Elliott is a Nurse Practitioner in Springfield, Illinois. Qualified in 2020, 6 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

1025 S 6th St
Springfield, IL 62703-2499
Phone: (217) 528-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 116a N Main St, White Hall, IL 62092-1054 — (217) 374-2188

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209022227 (IL)

Record details

NPI number1003416546
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 26, 2020
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing addressPo Box 19248, Springfield, IL 62794-9248

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Springfield