Memorial Physician Services
NPI 1063961936ActiveOrganization· Nurse Practitioner, Family· Springfield, IL
Nurse Practitioner, Family in Springfield, Illinois, registered in NPPES in October 2016. The authorized official on file is Loralee Donnelly, FNP, Family Nurse Practitioner.
Overview
| NPI | 1063961936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2016 |
| Last updated in NPPES | Oct 3, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209.014926 | IL |
| General Acute Care Hospital | 282N00000X | 209.014926 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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