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

Nita Raut, APN

Individual provider Family Nurse Practitioner · NPI 1205345949

Nita Raut, APN is a Nurse Practitioner in Bloomington, Illinois. Qualified in 2017, 9 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

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Practice location Address checks out

3024 E Empire St Ste A
Bloomington, IL 61704-5402
Phone: (309) 556-7800
Fax: (309) 556-7804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8940 N Wood Sage Rd, Peoria, IL 61615-7822 — (309) 243-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209016605 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209016605 (IL)

Record details

NPI number1205345949
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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