Active NPIIndividual provider

Stacey E Salmonson, APRN, CNP

Nurse Practitioner, Psych/Mental Health in Bloomington, Illinois

NPI Number1649761180
Practice location
3024 E Empire St Ste 2A, Bloomington, IL 61704-5402
Fax
—
Last updated
November 5, 2026

Stacey Elaine Salmonson is a Nurse Practitioner, Psych/Mental Health based in Bloomington, IL. Stacey Elaine Salmonson practices in Bloomington, IL and has the professional credentials of APRN, CNP. The NPI Number for Stacey Elaine Salmonson is 1649761180 and holds a License No. 277003306 (IL). The current practice location address for Stacey Elaine Salmonson is 3024 E Empire St Ste 2A, Bloomington, IL 61704-5402 and can be reached out via phone at 309-556-7800.

Provider Profile Details

NPI Number
1649761180
Provider Name
Stacey Elaine Salmonson
Credential
APRN, CNP
Provider Entity Type
Individual
Gender
Female
Address
3024 E Empire St Ste 2A, Bloomington, IL 61704-5402
Phone Number
309-556-7800
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2018
Last Update Date
November 5, 2026
Certification Date
November 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3024 E Empire St Ste 2A
Bloomington, IL 61704-5402
Zip
61704-5402
Phone Number
309-556-7800
Bloomington, IL 61704Get directions →

Provider Business Mailing Address Details

Address
3024 E Empire St Ste 2A
Bloomington, IL 61704-5402
City
Bloomington
State
IL
Zip
61704-5402
Phone Number
309-556-7800

License Information

License Number (1)
277003306
License State (1)
IL
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
APN.0994059
License State (2)
CO
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
RN2342234
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey E Salmonson, APRN, CNP?

The NPI number of Stacey E Salmonson, APRN, CNP is 1649761180. It was assigned on May 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Stacey E Salmonson, APRN, CNP?

Stacey E Salmonson, APRN, CNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in IL under license number 277003306.

Where does Stacey E Salmonson, APRN, CNP practice?

The practice location is 3024 E Empire St Ste 2A, Bloomington, IL 61704-5402. The office can be reached at 309-556-7800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649761180 directly on the NPPES registry website.

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