Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023281847 Individual Practitioner Female Practitioner

Paula R Icenogle

Driver • Colchester, IL

Professional Overview & Biography Verified Profile Summary

Paula Icenogle is a registered healthcare professional specializing in Driver in Colchester, IL. Practice services are available at 708 SHERRY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

708 Sherry St

Colchester, IL 623261176

Telephone 3097763978

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Colchester, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Colchester, IL (286 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License IL I25267678827

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 13, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 13, 2008

Registered at 708 SHERRY ST, COLCHESTER, IL 623261176 (Tel: 3097763978)

📍
Updated Business Mailing Address April 13, 2008

Registered at 708 SHERRY ST, COLCHESTER, IL 623261176 (Tel: 3097763978)

👤
Provider Name / Credentials Updated April 13, 2008

Recorded as PAULA ICENOGLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2008

Driver (License #I25267678827 in IL)

🟢
Initial NPI Registration & Enumeration April 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023281847
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2008
Last Update: April 13, 2008
Sole Proprietor: No

Mailing Address

708 Sherry St

Colchester, IL 623261176

Phone: 3097763978

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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