MRS. KAREN M BUSSONE ACNP
NPI 1487661948
Nurse Practitioner in Peoria, IL

Q: What is Karen Bussone's NPI number?

The NPI number for Karen Bussone is 1487661948. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Karen Bussone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Bussone was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 01, 2006

5405 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-4410(309) 589-2830 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Karen M Bussone Acnp NPPES

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

MRS. KAREN M BUSSONE ACNP (NPI 1487661948) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209000600) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487661948

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KAREN M BUSSONECredential: ACNP

Location Address5405 N KNOXVILLE AVEPeoria, IL 61614

Mailing Address5405 N Knoxville AvePeoria, IL 61614 · (309) 691-4410 · Fax (309) 589-2830

Phone(309) 691-4410

Fax(309) 589-2830

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateAugust 26, 2010

✔ NPI 1487661948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209000600

Definition

(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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209000600 (IL)

5405 N KNOXVILLE AVE, Peoria, IL 61614

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Other Identifiers 3

Medicaid209000600IL

Medicare UPINS69584IL

Medicare ID-Type UnspecifiedK15660IL

Other Providers at the Same Location NPPES 20

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

CHRISTINE C PERKS MD

Internal Medicine (Cardiovascular Disease)