Dominique Ely is a Decatur, Illinois based nurse practitioner with 11 years of experience in . She completed her graduation from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dominique Ely is 209011112 for Acute Care in Illinois. Her current practice location is 302 W Hay St Ste 140, Decatur. Patients can reach her at 217-872-2713 or can fax her at 217-545-1958. Dominique Ely is AGACNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1629490081. Dominique Ely has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Dominique Ely speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dominique Ely
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
AGACNP-BC
Experience:
11+ years
Medical School Attended:
University Of Illinois College Of Med (chi/peor/rock/chm-urb)
Graduation Year:
2013
Accepts Medicare Assignment:
Yes
Practice Address:
302 W Hay St Ste 140, Decatur, Illinois, 62526-4168
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6002046935
Enrollment ID:
I20140220000660
NPI Number:
1629490081
NPI Enumeration Date:
20 Jan, 2014
NPI Last Update On:
24 Sep, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dominique Ely are as mentioned below.
License Number
Specialization
State
Status
209011112
Acute Care
Illinois
Primary
209011112
Nurse Practitioner
Illinois
Secondary
209011112
Adult Health
Illinois
Secondary
209011112
Gerontology
Illinois
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dominique Ely is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Carle Health Care Incorporated (3577515774)
792
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dominique Ely Po Box 19639, Springfield, Illinois
Zip:
62794-9639
Phone Number:
217-545-8000
Patients can reach Dominique Ely at 302 W Hay St Ste 140, Decatur, Illinois or can call to book an appointment on 217-872-2713.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.