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

Mrs. Mary E Eident, FNP-C

Individual provider Family Nurse Practitioner · NPI 1154936672

Mrs. Mary E Eident, FNP-C is a Nurse Practitioner in Danville, Illinois. Qualified in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Illinois.

Years since qualifying
6
Licensed in
CO, IL
In the registry since
2020
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

311 W Fairchild St
Danville, IL 61832-3876
Phone: (217) 383-4501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2864 S Circle Dr Ste 450, Colorado Springs, CO 80906-4170 — (719) 776-8850

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.021969 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.0997514-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence 209021969 (IL)

Record details

NPI number1154936672
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2020
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address611 W Park St, Fapc, Urbana, IL 61801

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 Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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