Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Farzaneh Moh Entezari, APN

Individual provider Primary Care Nurse Practitioner · NPI 1770177172

Farzaneh Moh Entezari, APN is a Nurse Practitioner in Champaign, Illinois. Qualified in 2020, 6 years ago. Practices with Radial Health SC, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
3
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

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Practice location Address checks out

1701 Curtis Rd
Champaign, IL 61822-9678
Phone: (217) 365-6207
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 414 Paddock Dr W, Savoy, IL 61874-9620 — (217) 550-1777

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209022654 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209.022654 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041.438415 (IL)

Record details

NPI number1770177172
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedFebruary 25, 2021
Last updated in NPPESNovember 7, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Radial Health Sc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients193
Services billed 964 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Radial Health SC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 14 clinicians in the practice; 7 are shown here.

Other providers in Champaign