MARY CAY BOLSER (NPI# 1801801568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801801568 |
| Entity Type | Individual |
| Full Name | MARY CAY BOLSER |
| Other Name | MARY CAY DECLUE |
| Credential | ARNP |
| Practice Address |
311 W Fairchild St Danville IL 61832-3876 |
| Mailing Address |
611 W Park St Urbana IL 61801-2529 |
| Practice Telephone | 2174317898 |
| Practice Fax Number | 2175541750 |
| Mailing Telephone | 2173833311 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-000358 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE NUMBER | P00393307 | 01 |
| IL | RR GROUP | CE9335 | 01 |
| Street Address |
311 W FAIRCHILD ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936672 | Mary E Eident | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-09-11 |
| 1629687041 | Allan Vega | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-07-31 |
| 1932672276 | Emily N Kozak | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2019-01-09 |
| 1033628201 | Lynn P Keller | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-09-20 |
| 1760904668 | Sarah L Hunsberger | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-07-12 |
| 1780104877 | Dareshia F Chambers-staple | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-06-21 |
| 1417311317 | Edward Caballero | Internal Medicine | 311 W Fairchild St, Danville, IL 61832-3876 | 2016-04-07 |
| 1578928586 | Julie Vann | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-12-17 |
| 1235524240 | Sara E Thai | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-04-06 |
| 1861803595 | Rukayatu Ibrahim | Pediatrics | 311 W Fairchild St, Danville, IL 61832-3876 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376941 | Jinean Tanette Barnes | Nurse Practitioner | 501 Rison St Ste 130, Danville, VA 24541-2426 | 2020-05-06 |
| 1811458003 | Donna Marie Lamb | Nurse Practitioner | 852 Crosshill Rd, Danville, KY 40422-1135 | 2019-03-29 |
| 1982174900 | Cynthia Davis Barker | Nurse Practitioner | 109 Bridge St # 202, Danville, VA 24541-1222 | 2018-12-03 |
| 1861976391 | Amilynn Britton | Nurse Practitioner | 100 Montour St, Danville, PA 17821-1017 | 2018-09-20 |
| 1538436092 | Marilyn Wade-foster | Nurse Practitioner | 501 Rison Street, Ste 100, Danville, VA 24541-2426 | 2011-11-28 |
| 1174709018 | Laura L Ayers | Nurse Practitioner | 441 Piney Forest Rd Ste G, Danville, VA 24540-4154 | 2008-01-10 |
| 1134344864 | Rebecca C. Metcalf | Nurse Practitioner | 304 Market St, The Sanctuary, Danville, OH 43014-9649 | 2007-04-16 |
| 1073639936 | Hendricks Regional Health | Nurse Practitioner | 1000 E Main Street, Danville, IN 46122-1948 | 2007-03-22 |
| 1316963572 | Ruth A Woroch | Nurse Practitioner | 1901 E Voorhees St, Suite 1159, Danville, IL 61834-4509 | 2006-07-14 |
| 1831147107 | Valerie A White | Nurse Practitioner | 723 Piney Forest Rd, Danville, VA 24540-2860 | 2006-05-05 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on MARY CAY BOLSER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.