1. Home
  2. Directory
  3. Illinois
  4. Troy
  5. Nurse Practitioner
  6. NPI Profile

OPTIMIZED WELLNESS PC
NPI 1942833363
Nurse Practitioner - Family in Troy, IL

Active since February 13, 2020
39 DOROTHY DR, TROY, IL 62294(618) 530-5079(618) 844-5021 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2020, Mar 30, 2020, Feb 13, 2020 (3 updates tracked since 2020).

About Optimized Wellness Pc NPPES

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

OPTIMIZED WELLNESS PC (NPI 1942833363) is a healthcare organization registered as a family in Troy, Illinois and active in the NPI registry since February 2020. The organization lists Rita Ann Tucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1942833363
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPTIMIZED WELLNESS PC
Location Address39 DOROTHY DRTroy, IL 62294-1389
Mailing AddressPo Box 55Breese, IL 62230-0055 · (618) 530-5079 · Fax (618) 844-5021
Phone(618) 530-5079
Fax(618) 844-5021
Organization SubpartNo
Authorized OfficialRita Ann TuckerOwner · (618) 530-5079
Enumeration DateFebruary 13, 2020
Last NPPES UpdateJanuary 22, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1942833363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
39 DOROTHY DR, Troy, IL 62294
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

WILKINSON FOUNTAINS LEASE CO LLC
Point of Service
39 DOROTHY DR
TROY, IL 62294
Madison County (618) 667-1342
FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
Clinic/Center (Physical Therapy)
39 DOROTHY DR
TROY, IL 62294
Madison County (618) 667-1342
MRS. KELLIE MEYER MA CCC-SLP
Speech-Language Pathologist
39 DOROTHY DR
TROY, IL 62294
Madison County (618) 414-5315
SNH LINCOLN TENANT LLC
Assisted Living Facility
39 DOROTHY DR
TROY, IL 62294
Madison County (618) 667-1342
AMBER PENDEGRAFT FNP-C
Nurse Practitioner (Family)
39 DOROTHY DR
TROY, IL 62294
Madison County (618) 530-5079
RITA TUCKER N.P.
Nurse Practitioner (Family)
39 DOROTHY DR
TROY, IL 62294
Madison County (618) 530-5079

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 Optimized Wellness PC's NPI number?

The NPI number for Optimized Wellness PC is 1942833363. It was assigned to this organization in the NPPES registry on February 13, 2020.

Where is Optimized Wellness PC located?

Optimized Wellness PC is located at 39 Dorothy Dr, Troy, IL 62294. The listed phone number is (618) 530-5079.

What is Optimized Wellness PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Optimized Wellness PC was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.