SPRINGFIELD ELDER CARE, PC
NPI 1124316286
Nurse Practitioner - Gerontology in Springfield, IL

Q: What is Springfield Elder Care, PC's NPI number?

The NPI number for Springfield Elder Care, PC is 1124316286. It was assigned to this organization in the NPPES registry on July 11, 2011.

Q: What is Springfield Elder Care, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since July 11, 2011

1808 S BATES AVE, SPRINGFIELD, IL 62704(217) 391-6301(713) 344-9420 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Springfield Elder Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRINGFIELD ELDER CARE, PC (NPI 1124316286) is a healthcare organization registered as a gerontology in Springfield, Illinois and active in the NPI registry since July 2011. The organization lists Elizabeth Carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124316286

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameSPRINGFIELD ELDER CARE, PC

Location Address1808 S BATES AVESpringfield, IL 62704-3354

Mailing AddressPo Box 431Stilwell, KS 66085-0431 · (217) 391-6301 · Fax (713) 344-9420

Phone(217) 391-6301

Fax(713) 344-9420

Organization SubpartNo

Authorized OfficialElizabeth CarlsonOwner · (217) 391-6301

Enumeration DateJuly 11, 2011

✔ NPI 1124316286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · APN209006847

1808 S BATES AVE, Springfield, IL 62704

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPRINGFIELD ELDER CARE, LLC

Nurse Practitioner (Gerontology)

1808 S BATES AVE
SPRINGFIELD, IL 62704

Sangamon County (217) 741-4304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Springfield Elder Care, PC's NPI number?

The NPI number for Springfield Elder Care, PC is 1124316286. It was assigned to this organization in the NPPES registry on July 11, 2011.

Where is Springfield Elder Care, PC located?

Springfield Elder Care, PC is located at 1808 S Bates Ave, Springfield, IL 62704. The listed phone number is (217) 391-6301.

What is Springfield Elder Care, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Springfield Elder Care, PC was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.