Memorial Physician Services | |
701 N 1st St Springfield IL 62781-0001 | |
(217) 757-7491 | |
(217) 757-2021 |
Full Name | Memorial Physician Services |
---|---|
Speciality | Clinic/Center |
Location | 701 N 1st St, Springfield, Illinois |
Authorized Official Name and Position | Edgar J Curtis (PRESIDENT AND CEO) |
Authorized Official Contact | 2177883340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Memorial Physician Services Po Box 3428 Springfield IL 62708-3428 Ph: (217) 757-7688 | Memorial Physician Services 701 N 1st St Springfield IL 62781-0001 Ph: (217) 757-7491 |
NPI Number | 1417922964 |
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Provider Enumeration Date | 02/20/2006 |
Last Update Date | 01/16/2013 |
Medicare PECOS PAC ID | 9032005681 |
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Medicare Enrollment ID | O20040223000454 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417922964 | NPI | - | NPPES |
CA3161 | Other | IL | RAILROAD MEDICARE GROUP |
CA7115 | Other | IL | RAILROAD MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Anthony M Griffin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770558603 PECOS PAC ID: 7214821701 Enrollment ID: I20040216000081 |
Provider Name | Kathleen A Sigle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316912561 PECOS PAC ID: 0840182242 Enrollment ID: I20040329001577 |
Provider Name | Patricia L Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639230360 PECOS PAC ID: 4688656325 Enrollment ID: I20040604000919 |
Provider Name | Catherine M Fox |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699874735 PECOS PAC ID: 5092790881 Enrollment ID: I20040624000450 |
Provider Name | Lara E Vollmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285657684 PECOS PAC ID: 5294715801 Enrollment ID: I20040723000620 |
Provider Name | Carmen D Chase |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487677100 PECOS PAC ID: 1850388802 Enrollment ID: I20040923001122 |
Provider Name | Sondra S Hoover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538368568 PECOS PAC ID: 3779552781 Enrollment ID: I20040927001091 |
Provider Name | Junitta C Stieren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073501078 PECOS PAC ID: 8123089026 Enrollment ID: I20041025000131 |
Provider Name | Saira Wahab Silas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770501595 PECOS PAC ID: 7618939414 Enrollment ID: I20041103000684 |
Provider Name | Lydia Simeona Q Villafuerte |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548249469 PECOS PAC ID: 2466405642 Enrollment ID: I20050301000696 |
Provider Name | Richard B Alexander |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972632438 PECOS PAC ID: 8820051220 Enrollment ID: I20050328000564 |
Provider Name | Amber D Olson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659609055 PECOS PAC ID: 4082651534 Enrollment ID: I20050415000254 |
Provider Name | Tracy A Mizeur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467427716 PECOS PAC ID: 5698790764 Enrollment ID: I20051007000293 |
Provider Name | Gerri Ann Hellhake Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164439659 PECOS PAC ID: 5890715478 Enrollment ID: I20051128000594 |
Provider Name | Maria L Laya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265428015 PECOS PAC ID: 7810904000 Enrollment ID: I20060313000657 |
Provider Name | Amir J Wahab |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881669158 PECOS PAC ID: 9133136328 Enrollment ID: I20060313000694 |
Provider Name | Richard E Bivin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386641033 PECOS PAC ID: 8123035326 Enrollment ID: I20060313000710 |
Provider Name | Katherine A Krall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104891092 PECOS PAC ID: 9537163894 Enrollment ID: I20060830000076 |
Provider Name | Christina L Scheibler-ventress |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831148022 PECOS PAC ID: 1052316254 Enrollment ID: I20060921000456 |
Provider Name | Bonnie J Coburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720165103 PECOS PAC ID: 1951309558 Enrollment ID: I20061114000644 |
Provider Name | Maoxiim N Tellez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740311349 PECOS PAC ID: 1456452739 Enrollment ID: I20070731000451 |
Provider Name | Anna Richie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275522666 PECOS PAC ID: 1254425796 Enrollment ID: I20070914000500 |
Provider Name | Omar Arturo Vargas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639390388 PECOS PAC ID: 4688761992 Enrollment ID: I20071102000639 |
Provider Name | Melanie R Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013115955 PECOS PAC ID: 4183705700 Enrollment ID: I20080121000165 |
Provider Name | Michelle R Colen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336138122 PECOS PAC ID: 4082620554 Enrollment ID: I20080731000264 |
Provider Name | Patricia A Schneider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033372396 PECOS PAC ID: 9830266634 Enrollment ID: I20080919000521 |
Provider Name | Jennifer E Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396909412 PECOS PAC ID: 2668540204 Enrollment ID: I20081008000821 |
Provider Name | Sondra L Wise |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417047168 PECOS PAC ID: 9335201169 Enrollment ID: I20090102000332 |
Provider Name | Michael E Sheedy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790758894 PECOS PAC ID: 2466516752 Enrollment ID: I20090202000139 |
Provider Name | Lorie A Bleyer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952308884 PECOS PAC ID: 3779648084 Enrollment ID: I20090220000439 |
Provider Name | Steven R Bowers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093713562 PECOS PAC ID: 7618948944 Enrollment ID: I20090224000513 |
Provider Name | Cara E Vasconcelles |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114992658 PECOS PAC ID: 8921164195 Enrollment ID: I20090313000166 |
Provider Name | Michael V Comerford |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497753974 PECOS PAC ID: 3577629765 Enrollment ID: I20090313000357 |
Provider Name | Joshua R Ellison |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1972716033 PECOS PAC ID: 6608933239 Enrollment ID: I20090325000515 |
Provider Name | David B Sandercock |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770556565 PECOS PAC ID: 1456418490 Enrollment ID: I20090401000086 |
Provider Name | Joe A Bilyeu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023230968 PECOS PAC ID: 9133277973 Enrollment ID: I20090504000641 |
Provider Name | Lacy B Beard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881824910 PECOS PAC ID: 5496809170 Enrollment ID: I20090814000140 |
Provider Name | Andrea L Stribling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508096892 PECOS PAC ID: 6103971031 Enrollment ID: I20090828000388 |
Provider Name | Martina B Binder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376775361 PECOS PAC ID: 0648326058 Enrollment ID: I20090925000235 |
Provider Name | Heather N Beyers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295965697 PECOS PAC ID: 7810034238 Enrollment ID: I20091016000281 |
Provider Name | Alissa D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003046228 PECOS PAC ID: 3476690785 Enrollment ID: I20091019000496 |
Provider Name | Jillian M Mchood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194054692 PECOS PAC ID: 1355483207 Enrollment ID: I20100115000313 |
Provider Name | Mary A Saunders |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255301107 PECOS PAC ID: 9335284215 Enrollment ID: I20100303000364 |
Provider Name | Brad S Hughes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205949260 PECOS PAC ID: 8123157914 Enrollment ID: I20100604000187 |
Provider Name | Gustavo Mosquera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033395629 PECOS PAC ID: 2567592074 Enrollment ID: I20100610000044 |
Provider Name | Fareed Tabatabai |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649309113 PECOS PAC ID: 9739142134 Enrollment ID: I20101213000374 |
Provider Name | Jamie L Landsverk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316101314 PECOS PAC ID: 7113115817 Enrollment ID: I20101222000322 |
Provider Name | Rosemary L Herzberger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548560089 PECOS PAC ID: 0648450460 Enrollment ID: I20110211000353 |
Provider Name | Heather D Lansaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255563995 PECOS PAC ID: 7719168327 Enrollment ID: I20110302000081 |
Provider Name | Anna Maria Lentini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134421506 PECOS PAC ID: 8527241389 Enrollment ID: I20110331000867 |
Provider Name | John K Lee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952566184 PECOS PAC ID: 8325216021 Enrollment ID: I20110725000405 |
Provider Name | Christopher E Rivera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326200080 PECOS PAC ID: 3173649381 Enrollment ID: I20110819000071 |
Provider Name | Lacey D Moy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013144021 PECOS PAC ID: 7618138413 Enrollment ID: I20120420000378 |
Provider Name | Abby L Cunningham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528299955 PECOS PAC ID: 7214190669 Enrollment ID: I20120522000886 |
Provider Name | Rosemarie K Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750357422 PECOS PAC ID: 2062677727 Enrollment ID: I20120702000058 |
Provider Name | Alyssa R Gibbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528316197 PECOS PAC ID: 2365695558 Enrollment ID: I20130122000427 |
Provider Name | Peggy L Knowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497093264 PECOS PAC ID: 3072758663 Enrollment ID: I20130403000051 |
Provider Name | Jennifer F Frank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942391727 PECOS PAC ID: 7113164195 Enrollment ID: I20130510000348 |
Provider Name | Diane M Lietz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740522101 PECOS PAC ID: 4789822388 Enrollment ID: I20130521000053 |
Provider Name | Karen S Wilson-guinto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790026425 PECOS PAC ID: 6608014071 Enrollment ID: I20130523000492 |
Provider Name | Steve Lillpop |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851387609 PECOS PAC ID: 8527039858 Enrollment ID: I20130619000681 |
Provider Name | Mary T Dambacher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477995611 PECOS PAC ID: 4486888591 Enrollment ID: I20131003000168 |
Provider Name | Mirjam J. Naughton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194158238 PECOS PAC ID: 5395733687 Enrollment ID: I20131008000430 |
Provider Name | Avinash K Viswanathan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639487911 PECOS PAC ID: 1355575267 Enrollment ID: I20131009000181 |
Provider Name | Gina Marie Palazzolo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891049276 PECOS PAC ID: 4587817564 Enrollment ID: I20131030001280 |
Provider Name | Rachelle L Hodel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518383827 PECOS PAC ID: 6901039536 Enrollment ID: I20140506000012 |
Provider Name | Ashlee M Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508284803 PECOS PAC ID: 5698908275 Enrollment ID: I20140506001429 |
Provider Name | Madeleine D Heckenkamp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063818094 PECOS PAC ID: 5799008124 Enrollment ID: I20141216001186 |
Provider Name | Linda V Stevens Schilsky |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1245203439 PECOS PAC ID: 0547585341 Enrollment ID: I20150219002413 |
Provider Name | Audra L Trump |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780076901 PECOS PAC ID: 7416274733 Enrollment ID: I20150326000440 |
Provider Name | Nicholas D Ramey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679964514 PECOS PAC ID: 6709104532 Enrollment ID: I20150407002314 |
Provider Name | Kelly Ann Luciano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598020158 PECOS PAC ID: 5799901419 Enrollment ID: I20150407002373 |
Provider Name | Jessica L Heil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174912364 PECOS PAC ID: 6507184348 Enrollment ID: I20150408000281 |
Provider Name | Nicole L Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770974800 PECOS PAC ID: 9335467513 Enrollment ID: I20150420001386 |
Provider Name | Stephanie N Doolin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750774386 PECOS PAC ID: 0446570287 Enrollment ID: I20150519002497 |
Provider Name | Kristina N Waggoner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861886715 PECOS PAC ID: 2567783525 Enrollment ID: I20150603001573 |
Provider Name | Dianne Endress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528477015 PECOS PAC ID: 9638480965 Enrollment ID: I20150612001207 |
Provider Name | Jessica J Dour |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639561285 PECOS PAC ID: 3476867532 Enrollment ID: I20150803001279 |
Provider Name | Angela K Severado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952787376 PECOS PAC ID: 3779899943 Enrollment ID: I20150902001972 |
Provider Name | Kellie E Bibb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699147215 PECOS PAC ID: 2264742360 Enrollment ID: I20151102001026 |
Provider Name | Christopher C Camilleri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295710044 PECOS PAC ID: 5890724231 Enrollment ID: I20151125001960 |
Provider Name | Kendra L Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780045526 PECOS PAC ID: 1355649419 Enrollment ID: I20160406001513 |
Provider Name | Randi L Hope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780045229 PECOS PAC ID: 0749588689 Enrollment ID: I20160411000747 |
Provider Name | Shahed M Shams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225478027 PECOS PAC ID: 0840592556 Enrollment ID: I20160601001653 |
Provider Name | Leona L Burnham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487977427 PECOS PAC ID: 0042450959 Enrollment ID: I20160627001439 |
Provider Name | Ashley P Macdonald |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053750851 PECOS PAC ID: 6002035755 Enrollment ID: I20160927002190 |
Provider Name | Abigail G Buoy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619230992 PECOS PAC ID: 3971741000 Enrollment ID: I20161010000517 |
Provider Name | Jennifer L Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891241329 PECOS PAC ID: 1052699279 Enrollment ID: I20161024000216 |
Provider Name | Julie C Borjon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265974604 PECOS PAC ID: 5991085896 Enrollment ID: I20161212001670 |
Provider Name | Jennifer J Ellison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669927984 PECOS PAC ID: 7416238548 Enrollment ID: I20170104001812 |
Provider Name | Kevin R Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134667793 PECOS PAC ID: 8426331604 Enrollment ID: I20170214000930 |
Provider Name | Sherry A Slifer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679944128 PECOS PAC ID: 3577864727 Enrollment ID: I20170215000555 |
Provider Name | Emily A Wiezorek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609310960 PECOS PAC ID: 8022392711 Enrollment ID: I20170223002577 |
Provider Name | Jennifer K Tinsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780121756 PECOS PAC ID: 5991089146 Enrollment ID: I20170307001153 |
Provider Name | Jamie L Cross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427598903 PECOS PAC ID: 7517241607 Enrollment ID: I20170309001870 |
Provider Name | Katie E Sloman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548700396 PECOS PAC ID: 4385929405 Enrollment ID: I20170331001557 |
Provider Name | Lindsey M Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174930754 PECOS PAC ID: 6901175579 Enrollment ID: I20170713001530 |
Provider Name | Rebekah A Hovland |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285073080 PECOS PAC ID: 7113151879 Enrollment ID: I20170908001428 |
Provider Name | Samantha Olmstead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538683032 PECOS PAC ID: 2668747981 Enrollment ID: I20171011003890 |
Provider Name | Mischaela N Aring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811412885 PECOS PAC ID: 2466728449 Enrollment ID: I20171018002298 |
Provider Name | Latoya L Bond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790219459 PECOS PAC ID: 3971879974 Enrollment ID: I20171018003106 |
Provider Name | Amanda M Mavis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396269700 PECOS PAC ID: 3577839901 Enrollment ID: I20171030001890 |
Provider Name | Jennifer K Fogle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346752557 PECOS PAC ID: 9133486145 Enrollment ID: I20171129002814 |
Provider Name | Alexis Brumfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467963348 PECOS PAC ID: 4981961919 Enrollment ID: I20171130000456 |
Provider Name | Rebecca L. Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386154870 PECOS PAC ID: 7911264817 Enrollment ID: I20171201000310 |
Provider Name | Allison M Trigg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255843272 PECOS PAC ID: 9638437460 Enrollment ID: I20171227000849 |
Provider Name | Andrew W Messmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831614809 PECOS PAC ID: 3577822659 Enrollment ID: I20180117002719 |
Provider Name | Nicole R Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275041097 PECOS PAC ID: 0143583658 Enrollment ID: I20180416002035 |
Provider Name | Carol J Lantz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114435559 PECOS PAC ID: 5496019168 Enrollment ID: I20180504000023 |
Provider Name | Christina Rovey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336642867 PECOS PAC ID: 6305101841 Enrollment ID: I20180604000877 |
Provider Name | Jesse Gutierrez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891282760 PECOS PAC ID: 4880949197 Enrollment ID: I20180608001477 |
Provider Name | Erin L. Collinsworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609366061 PECOS PAC ID: 6103172010 Enrollment ID: I20180709000518 |
Provider Name | Rebecca A Voyles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508359969 PECOS PAC ID: 0941558803 Enrollment ID: I20180809000011 |
Provider Name | Carrie M. Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760972715 PECOS PAC ID: 6507115201 Enrollment ID: I20180814000318 |
Provider Name | Constance A Habenschuss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467939140 PECOS PAC ID: 5698024610 Enrollment ID: I20180823001535 |
Provider Name | Amber E Sperry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780175778 PECOS PAC ID: 1759631658 Enrollment ID: I20180913000873 |
Provider Name | Emily Jo Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871070797 PECOS PAC ID: 3274885892 Enrollment ID: I20181010000791 |
Provider Name | Dhuha Maki Raab |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588057988 PECOS PAC ID: 4880948827 Enrollment ID: I20181112000405 |
Provider Name | Ashley H Overmeyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124501606 PECOS PAC ID: 1052655354 Enrollment ID: I20181127001773 |
Provider Name | Kendall E Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003391061 PECOS PAC ID: 6305180266 Enrollment ID: I20181204000097 |
Provider Name | Sherry L. Boyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508332453 PECOS PAC ID: 8426394925 Enrollment ID: I20190103001970 |
Provider Name | Brandy J. Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568944361 PECOS PAC ID: 4082950936 Enrollment ID: I20190114001644 |
Provider Name | Kathryn E Carnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861965873 PECOS PAC ID: 9436491933 Enrollment ID: I20190502002728 |
Provider Name | Jennifer M Collins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811340672 PECOS PAC ID: 6507109626 Enrollment ID: I20190513002021 |
Provider Name | Haylie A Damhoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245897255 PECOS PAC ID: 8527394261 Enrollment ID: I20190801002517 |
Provider Name | Richard Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215491915 PECOS PAC ID: 6800126491 Enrollment ID: I20190924003901 |
Provider Name | Kelsi N Earl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376195818 PECOS PAC ID: 1052641347 Enrollment ID: I20190930002403 |
Provider Name | Carrie Mccormick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356903637 PECOS PAC ID: 6901137470 Enrollment ID: I20191015000180 |
Provider Name | Taryn Plummer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487202479 PECOS PAC ID: 5092148171 Enrollment ID: I20191203002027 |
Provider Name | Abigail Lauren Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356806582 PECOS PAC ID: 5193150548 Enrollment ID: I20200114000917 |
Provider Name | Sydney J Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710527908 PECOS PAC ID: 8426485178 Enrollment ID: I20200219001755 |
Provider Name | Holly Diane Pennell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528690799 PECOS PAC ID: 1557790730 Enrollment ID: I20200409001810 |
Provider Name | Elizabeth Ann Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669004081 PECOS PAC ID: 8820429384 Enrollment ID: I20200516000419 |
Provider Name | Amanda Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578112363 PECOS PAC ID: 4688097413 Enrollment ID: I20200713000162 |
Provider Name | Chris Wassell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912546326 PECOS PAC ID: 4981022084 Enrollment ID: I20200921002793 |
Provider Name | Sarah Elizabeth Halsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609486802 PECOS PAC ID: 5193145373 Enrollment ID: I20201009002013 |
Provider Name | Shannon D Walle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649883992 PECOS PAC ID: 0446660310 Enrollment ID: I20201104000422 |
Provider Name | Nicole M Montes Corkery |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609306711 PECOS PAC ID: 9032480025 Enrollment ID: I20201110000098 |
Provider Name | Alexandra L Huddleston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922609437 PECOS PAC ID: 9739591850 Enrollment ID: I20201215001035 |
Provider Name | Corrie M Pirtle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861097255 PECOS PAC ID: 6800200403 Enrollment ID: I20210121002552 |
Provider Name | Rachel E Westbrook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669072823 PECOS PAC ID: 8820403603 Enrollment ID: I20210209003078 |
Provider Name | Becky S Lebar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316533177 PECOS PAC ID: 9436564960 Enrollment ID: I20210216001532 |
Provider Name | Cassie Briggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194362392 PECOS PAC ID: 8527474428 Enrollment ID: I20210301001018 |
Provider Name | Drake Gashkoff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558716274 PECOS PAC ID: 0042575409 Enrollment ID: I20210604001238 |
Provider Name | Kyle R Hadden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962996280 PECOS PAC ID: 7618223017 Enrollment ID: I20210706001628 |
Provider Name | Marlee Hager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629646567 PECOS PAC ID: 8325442874 Enrollment ID: I20210805003421 |
Provider Name | Delanie E Hinds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144995812 PECOS PAC ID: 1052718814 Enrollment ID: I20210921001541 |
Provider Name | Joseph Thomas Meyers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730767112 PECOS PAC ID: 0345647749 Enrollment ID: I20210928002708 |
Provider Name | Brett A Kesselring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821764929 PECOS PAC ID: 3971901661 Enrollment ID: I20211011001960 |
Provider Name | Melanie Dilger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710658919 PECOS PAC ID: 7416355896 Enrollment ID: I20211015000799 |
Provider Name | Maia D. Scharf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447822705 PECOS PAC ID: 8820487259 Enrollment ID: I20211105000500 |
Provider Name | Emily A Krofchick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952927485 PECOS PAC ID: 4385033760 Enrollment ID: I20211105002661 |
Provider Name | Marissa Paige Mahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215531264 PECOS PAC ID: 9133531650 Enrollment ID: I20211115000048 |
Provider Name | Sydney L Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932862323 PECOS PAC ID: 6002207362 Enrollment ID: I20211221000122 |
Provider Name | Kristin J Lawhorn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891459715 PECOS PAC ID: 8325439516 Enrollment ID: I20211223000214 |
Provider Name | Jennifer S Pemble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811248651 PECOS PAC ID: 3274783386 Enrollment ID: I20220218002338 |
Provider Name | Dominic Giafagleone Ryaddigan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437802915 PECOS PAC ID: 8628462405 Enrollment ID: I20220221000385 |
Provider Name | Ivette Jaqueline Cortes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548913478 PECOS PAC ID: 3476948993 Enrollment ID: I20220321001276 |
Provider Name | Jane Marie Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174140321 PECOS PAC ID: 1052706348 Enrollment ID: I20220323002605 |
Provider Name | Brenda A Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831849579 PECOS PAC ID: 3577940949 Enrollment ID: I20220524003292 |
Provider Name | Madelyn E Omalley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386203040 PECOS PAC ID: 6406180009 Enrollment ID: I20220727001267 |
Provider Name | Anne M Meier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073263711 PECOS PAC ID: 9032591086 Enrollment ID: I20220808001251 |
Provider Name | Brieana D Kesterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891258109 PECOS PAC ID: 7113309089 Enrollment ID: I20220809002800 |
Provider Name | Philip Brian Schoenrock |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093207821 PECOS PAC ID: 7315294576 Enrollment ID: I20220809003468 |
Provider Name | Hasan Farid Hasan Othman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1265091128 PECOS PAC ID: 9032592985 Enrollment ID: I20220810002244 |
Provider Name | Patricia R Baumann |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407349152 PECOS PAC ID: 8426305046 Enrollment ID: I20220817003648 |
Provider Name | Leah G Hauger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043933864 PECOS PAC ID: 4880065234 Enrollment ID: I20230120002456 |
Provider Name | Vishwa R Kadakia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356054464 PECOS PAC ID: 4587036116 Enrollment ID: I20230208001857 |
Provider Name | Jennifer M Gudgel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720793052 PECOS PAC ID: 1456724574 Enrollment ID: I20230309003023 |
Provider Name | Nicole M Beard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508569856 PECOS PAC ID: 4183081300 Enrollment ID: I20230602002429 |
Provider Name | Froilan V Perucho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871286393 PECOS PAC ID: 1254793169 Enrollment ID: I20230809002073 |
Provider Name | James D Farrell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265053417 PECOS PAC ID: 9830552686 Enrollment ID: I20230828002669 |
Provider Name | Edwin R Mathews |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225657125 PECOS PAC ID: 0648694448 Enrollment ID: I20230830002147 |
Provider Name | Kevin S Londe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235691809 PECOS PAC ID: 1355677857 Enrollment ID: I20231009001376 |
Provider Name | Kara A Shafer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679192066 PECOS PAC ID: 5496101859 Enrollment ID: I20231023000342 |
Provider Name | Kari K Hullinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861018301 PECOS PAC ID: 7113373010 Enrollment ID: I20231030001203 |
Provider Name | Ariel M Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497534747 PECOS PAC ID: 9032568910 Enrollment ID: I20231218003220 |
Provider Name | Lisa Ann Stolz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518693258 PECOS PAC ID: 1456701929 Enrollment ID: I20231223000227 |
Provider Name | Jenna N Dean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720791577 PECOS PAC ID: 8729438833 Enrollment ID: I20240102000650 |
Provider Name | Gabrielle R Dimarzio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033983481 PECOS PAC ID: 3173973252 Enrollment ID: I20240102002969 |
Provider Name | Barbara A Appleman Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922566777 PECOS PAC ID: 9032451018 Enrollment ID: I20240105001932 |
Provider Name | Brianne M Satorius |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457774416 PECOS PAC ID: 9436500816 Enrollment ID: I20240110002147 |
Provider Name | Derrick J Wolf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528769130 PECOS PAC ID: 2860843281 Enrollment ID: I20240110003442 |
Provider Name | David Joseph Edwards |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942396080 PECOS PAC ID: 4284086398 Enrollment ID: I20240113000283 |
Provider Name | Shelby Lynn Harvey |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740889252 PECOS PAC ID: 2860844925 Enrollment ID: I20240115000837 |
Provider Name | Tisha M Bayless |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1568901783 PECOS PAC ID: 2961845011 Enrollment ID: I20240206003017 |
Provider Name | Briana L Venable |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134753353 PECOS PAC ID: 3678917002 Enrollment ID: I20240214000322 |
Provider Name | Katie M Zinn |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396442398 PECOS PAC ID: 3375987670 Enrollment ID: I20240214002787 |
Provider Name | Misty M Buffenmeyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710501150 PECOS PAC ID: 4183069305 Enrollment ID: I20240228000294 |
Provider Name | Lauren B Hull |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245094986 PECOS PAC ID: 7214376292 Enrollment ID: I20240424000457 |
Provider Name | Mackenzie A Heywood |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194352559 PECOS PAC ID: 4789003104 Enrollment ID: I20240521003337 |
Provider Name | Jo Marie Caga-anan Hewitt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841786340 PECOS PAC ID: 9739431065 Enrollment ID: I20240522000364 |
Provider Name | Ayesha B Qadir |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598175549 PECOS PAC ID: 8224394903 Enrollment ID: I20240531000870 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
Professional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 Executive Park Dr, Springfield, IL 62703 Phone: 217-523-5406 | |
Michael Bova M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Farragut Dr, Suite C, Springfield, IL 62704 Phone: 217-726-9346 | |
North Dirksen Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Siu Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 | |
B3 Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 2d, Springfield, IL 62701 Phone: 217-508-5859 |