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MRS. GERALYN SUE PRULLAGE APN
NPI 1164723656
Nurse Practitioner - Neonatal in Springfield, IL

Active since November 15, 2010
415 N 9TH ST STE 4W16, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2021, Sep 28, 2021, Jul 21, 2021 (3 updates tracked since 2021).

About Mrs. Geralyn Sue Prullage Apn NPPES

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

MRS. GERALYN SUE PRULLAGE APN (NPI 1164723656) is an individual neonatal provider in Springfield, Illinois, licensed in Illinois (209008472) and active in the NPI registry since November 2010. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164723656
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. GERALYN SUE PRULLAGECredential: APN
Location Address415 N 9TH ST STE 4W16Springfield, IL 62702-5303
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Phone(217) 545-8000
Sole ProprietorYes
Enumeration DateNovember 15, 2010
Last NPPES UpdateDecember 28, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1164723656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in IL · 209008472
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 041207587 (IL)
415 N 9TH ST STE 4W16, Springfield, IL 62702
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Other Names 1

Professional Name (2)Geralyn Sue Prullage Apn

Secondary Practice Locations 2

Location 12910 Gilbert LnAlton, IL 62002-5504 · Phone (618) 363-2707
Location 29515 Holy Cross LnBreese, IL 62230-3618 · Phone (618) 526-4511

Other Providers at the Same Location NPPES 6

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

LEAH R BOON NNP-BC
Nurse Practitioner (Neonatal)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANDREA J GREENWOOD APRN
Nurse Practitioner (Neonatal)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SANGITA BASNET MD
Pediatrics
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SHELBY LYNN DOYLE MD
Pediatrics (Pediatric Critical Care Medicine)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
KELSIE M ADAMS
Registered Nurse
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MR. BRUCE DANIEL HASTINGS NNP-BC
Nurse Practitioner (Neonatal)
415 N 9TH ST STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Geralyn Prullage's NPI number?

The NPI number for Geralyn Prullage is 1164723656. It was assigned to this individual provider in the NPPES registry on November 15, 2010. The provider is also known as Geralyn Sue Prullage Apn.

Where is Geralyn Prullage located?

Geralyn Prullage practices at 415 N 9th St Ste 4w16, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Geralyn Prullage's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Geralyn Prullage was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.