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Deactivated NPI 1447667027 Deactivated / Inactive NPI Female Practitioner

Phyllis Wilkinson , RN

Licensed Practical Nurse • Normal, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phyllis Wilkinson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 16, 2014
NPI Deactivation Date August 07, 2025
Total Practice Duration ~11 Years of Practice (2014 – 2025)

Professional Overview & Biography Verified Profile Summary

Phyllis Wilkinson, RN was a registered Licensed Practical Nurse practicing in Normal, IL. Throughout an active medical career spanning 11 years, Phyllis Wilkinson provided care at the practice location at 1604 VISA DR until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

1604 Visa Dr
Ste 2

Normal, IL 61761

Telephone 3098464716
Fax 3094547348
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Normal, IL

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

Practicing in Normal, IL (906 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 041.392963

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ivy Paige , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1003249996
Reed Walters

Specialist/Technologist, Other

NPI 1003478553
Candi Hazelwonder , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1023256435
Brenda Gregory , RN

Licensed Practical Nurse

NPI 1043627045

Registered Nurse

Kent Petersen , RN

Registered Nurse

NPI 1053559401

Registered Nurse

Heston Allred

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1063012789

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active July 16, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2014

Registered at 1604 VISA DR, STE 2, NORMAL, IL 61761 (Tel: 3098464716)

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Updated Business Mailing Address July 16, 2014

Registered at 1604 VISA DR., STE. #2, NORMAL, IL 61761 (Tel: 3098464716)

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Provider Name / Credentials Updated July 16, 2014

Recorded as PHYLLIS WILKINSON, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2014

Licensed Practical Nurse (License #041.392963 in IL)

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Initial NPI Registration & Enumeration July 16, 2014

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: 1447667027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2014
Last Update: July 16, 2014
Deactivation Date: August 07, 2025

Mailing Address

1604 Visa Dr., Ste. #2

Normal, IL 61761

Phone: 3098464716

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.