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

Mrs. Anastasia Kovalaske, NP

Individual provider Surgical Technologist · NPI 1790118586

Mrs. Anastasia Kovalaske, NP is a Nurse Practitioner in Bloomington, Illinois. Qualified in 2016, 10 years ago. Practices with Premier Medical Group, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1401 Eastland Dr Ste B
Bloomington, IL 61761-3514
Phone: (309) 663-9424
Fax: (309) 663-6350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209015179 (IL)
Surgical Technologist Taxonomy 246ZS0410X · Licence 041.361357 (IL)

Record details

NPI number1790118586
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 15, 2013
Last updated in NPPESDecember 5, 2016

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 Premier Medical Group, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount