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

Mrs. Emily Roach, NP

Individual provider Nurse Practitioner · NPI 1811579287

Mrs. Emily Roach, NP is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2021, 5 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4200 Williamson Pl Ste A
Mount Vernon, IL 62864-6705
Phone: (618) 532-6439
Fax: (618) 532-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1009 W Main St, Marion, IL 62959-1841 — (618) 899-9193

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209023065 (IL)

Record details

NPI number1811579287
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 26, 2021
Last updated in NPPESApril 26, 2021
Certification dateMarch 31, 2021
Mailing address936 Martin Luther King, Centralia, IL 62801

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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