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

Justin Joseph Couch, NP-C

Individual provider Nurse Practitioner · NPI 1922451681

Justin Joseph Couch, NP-C is a Nurse Practitioner in Bloomington, Illinois. Qualified in 2016, 10 years ago. Practices with Memorial Physician Services, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2200 E Washington St
Bloomington, IL 61701-4364
Phone: (309) 662-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4455 E Us Route 36, Decatur, IL 62521-5003 — (217) 876-5320

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014394 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209.014394 (IL)

Record details

NPI number1922451681
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bloomington