Memorial Physician Services - Medicare Mental Health Clinic in Springfield, IL

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Memorial Physician Services is a medicare enrolled mental health clinic (Family Medicine) in Springfield, Illinois. The current practice location for Memorial Physician Services is 3132 Old Jacksonville Rd, Springfield, Illinois. For appointments, you can reach them via phone at (217) 862-0800. The mailing address for Memorial Physician Services is Po Box 3428, Springfield, Illinois and phone number is (800) 577-5368.

Memorial Physician Services is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1174877930. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (217) 862-0800.

Contact Information

Memorial Physician Services
3132 Old Jacksonville Rd
Springfield
IL 62704-7400
(217) 862-0800
(217) 862-0871

Map and Direction


Mental Health Clinic Profile

Full NameMemorial Physician Services
SpecialityFamily Medicine
Location3132 Old Jacksonville Rd, Springfield, Illinois
Authorized Official Name and PositionJames T Dowell (VICE PRESIDENT, MPS)
Authorized Official Contact2177883342
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Memorial Physician Services
Po Box 3428
Springfield
IL 62708-3428

Ph: (800) 577-5368		Memorial Physician Services
3132 Old Jacksonville Rd
Springfield
IL 62704-7400

Ph: (217) 862-0800

NPI Details:

NPI Number1174877930
Provider Enumeration Date11/01/2012
Last Update Date06/11/2020
Certification Date06/11/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9032005681
Medicare Enrollment IDO20040223000454

Medical Identifiers

Medical identifiers for Memorial Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174877930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor ()Secondary
1041C0700XSocial Worker - Clinical ()Secondary
207Q00000XFamily Medicine ()Primary
207R00000XInternal Medicine ()Secondary
208000000XPediatrics ()Secondary
363A00000XPhysician Assistant ()Secondary
363L00000XNurse Practitioner ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Memorial Physician Services acts as a billing entity for following providers:
Provider NameAnthony M Griffin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770558603
PECOS PAC ID: 7214821701
Enrollment ID: I20040216000081
Provider NameKathleen a Sigle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316912561
PECOS PAC ID: 0840182242
Enrollment ID: I20040329001577
Provider NameJayson a Coble
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1124014865
PECOS PAC ID: 1850385097
Enrollment ID: I20040412000948
Provider NameCatherine M Fox
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1699874735
PECOS PAC ID: 5092790881
Enrollment ID: I20040624000450
Provider NameChristopher E Wottowa
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922195718
PECOS PAC ID: 2860471752
Enrollment ID: I20040715000038
Provider NameLara E Vollmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285657684
PECOS PAC ID: 5294715801
Enrollment ID: I20040723000620
Provider NameCarmen D Chase
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487677100
PECOS PAC ID: 1850388802
Enrollment ID: I20040923001122
Provider NameSondra S Hoover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538368568
PECOS PAC ID: 3779552781
Enrollment ID: I20040927001091
Provider NameJunitta C Stieren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073501078
PECOS PAC ID: 8123089026
Enrollment ID: I20041025000131
Provider NameSaira Wahab Silas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770501595
PECOS PAC ID: 7618939414
Enrollment ID: I20041103000684
Provider NameLydia Simeona Q Villafuerte
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548249469
PECOS PAC ID: 2466405642
Enrollment ID: I20050301000696
Provider NameRichard B Alexander
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972632438
PECOS PAC ID: 8820051220
Enrollment ID: I20050328000564
Provider NameAlyssa L Tusek
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1730175894
PECOS PAC ID: 4587602891
Enrollment ID: I20050418001291
Provider NameRichard M Hutchison
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1871553784
PECOS PAC ID: 8729014261
Enrollment ID: I20050715000147
Provider NameTracy a Mizeur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467427716
PECOS PAC ID: 5698790764
Enrollment ID: I20051007000293
Provider NameAmir J Wahab
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881669158
PECOS PAC ID: 9133136328
Enrollment ID: I20060313000694
Provider NameRichard E Bivin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386641033
PECOS PAC ID: 8123035326
Enrollment ID: I20060313000710
Provider NameMary E Ely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225074495
PECOS PAC ID: 6709896954
Enrollment ID: I20060502000657
Provider NameKatherine a Krall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104891092
PECOS PAC ID: 9537163894
Enrollment ID: I20060830000076
Provider NameChristina L Scheibler-ventress
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831148022
PECOS PAC ID: 1052316254
Enrollment ID: I20060921000456
Provider NameMaoxiim N Tellez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740311349
PECOS PAC ID: 1456452739
Enrollment ID: I20070731000451
Provider NameAnna Richie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275522666
PECOS PAC ID: 1254425796
Enrollment ID: I20070914000500
Provider NameOmar Arturo Vargas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639390388
PECOS PAC ID: 4688761992
Enrollment ID: I20071102000639
Provider NameMelanie R Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013115955
PECOS PAC ID: 4183705700
Enrollment ID: I20080121000165
Provider NameMichelle R Colen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336138122
PECOS PAC ID: 4082620554
Enrollment ID: I20080731000264
Provider NamePatricia a Schneider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033372396
PECOS PAC ID: 9830266634
Enrollment ID: I20080919000521
Provider NameMichael E Sheedy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790758894
PECOS PAC ID: 2466516752
Enrollment ID: I20090202000139
Provider NameMichael V Comerford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497753974
PECOS PAC ID: 3577629765
Enrollment ID: I20090313000357
Provider NameJoshua R Ellison
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1972716033
PECOS PAC ID: 6608933239
Enrollment ID: I20090325000515
Provider NameDavid B Sandercock
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770556565
PECOS PAC ID: 1456418490
Enrollment ID: I20090401000086
Provider NameJoe a Bilyeu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023230968
PECOS PAC ID: 9133277973
Enrollment ID: I20090504000641
Provider NameLacy B Beard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881824910
PECOS PAC ID: 5496809170
Enrollment ID: I20090814000140
Provider NameAndrea L Stribling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508096892
PECOS PAC ID: 6103971031
Enrollment ID: I20090828000388
Provider NameHeather N Beyers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295965697
PECOS PAC ID: 7810034238
Enrollment ID: I20091016000281
Provider NameAlissa D Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003046228
PECOS PAC ID: 3476690785
Enrollment ID: I20091019000496
Provider NameGustavo Mosquera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033395629
PECOS PAC ID: 2567592074
Enrollment ID: I20100610000044
Provider NameRegina M White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659501955
PECOS PAC ID: 0143344390
Enrollment ID: I20100825000611
Provider NameFareed Tabatabai
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649309113
PECOS PAC ID: 9739142134
Enrollment ID: I20101213000374
Provider NameRosemary L Herzberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548560089
PECOS PAC ID: 0648450460
Enrollment ID: I20110211000353
Provider NameHeather D Lansaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255563995
PECOS PAC ID: 7719168327
Enrollment ID: I20110302000081
Provider NameJohn K Lee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952566184
PECOS PAC ID: 8325216021
Enrollment ID: I20110725000405
Provider NameChristopher E Rivera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326200080
PECOS PAC ID: 3173649381
Enrollment ID: I20110819000071
Provider NameLacey D Moy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013144021
PECOS PAC ID: 7618138413
Enrollment ID: I20120420000378
Provider NameAbby L Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528299955
PECOS PAC ID: 7214190669
Enrollment ID: I20120522000886
Provider NameRosemarie K Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750357422
PECOS PAC ID: 2062677727
Enrollment ID: I20120702000058
Provider NameEric M High
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629299599
PECOS PAC ID: 4789831355
Enrollment ID: I20120904000770
Provider NameAlyssa R Gibbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528316197
PECOS PAC ID: 2365695558
Enrollment ID: I20130122000427
Provider NamePeggy L Knowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497093264
PECOS PAC ID: 3072758663
Enrollment ID: I20130403000051
Provider NameJennifer F Frank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942391727
PECOS PAC ID: 7113164195
Enrollment ID: I20130510000348
Provider NameSteve Lillpop
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851387609
PECOS PAC ID: 8527039858
Enrollment ID: I20130619000681
Provider NameErin K Kirkpatrick
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447694104
PECOS PAC ID: 0840439790
Enrollment ID: I20130625000570
Provider NameMirjam J. Naughton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194158238
PECOS PAC ID: 5395733687
Enrollment ID: I20131008000430
Provider NameAvinash K Viswanathan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639487911
PECOS PAC ID: 1355575267
Enrollment ID: I20131009000181
Provider NameGina Marie Palazzolo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891049276
PECOS PAC ID: 4587817564
Enrollment ID: I20131030001280
Provider NameJessica E Levora
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1124449160
PECOS PAC ID: 6103056049
Enrollment ID: I20140220001003
Provider NameRachelle L Hodel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518383827
PECOS PAC ID: 6901039536
Enrollment ID: I20140506000012
Provider NameAshlee M Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508284803
PECOS PAC ID: 5698908275
Enrollment ID: I20140506001429
Provider NameNathaniel S Gregoire
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1477956811
PECOS PAC ID: 0840412383
Enrollment ID: I20141117001516
Provider NameNicole M Lord
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013319623
PECOS PAC ID: 7113242058
Enrollment ID: I20150217000945
Provider NameLinda V Stevens Schilsky
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245203439
PECOS PAC ID: 0547585341
Enrollment ID: I20150219002413
Provider NameSarah L Camacho
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1902294754
PECOS PAC ID: 2860719572
Enrollment ID: I20150317002514
Provider NameKiley N Marsaglia
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942603907
PECOS PAC ID: 6709103641
Enrollment ID: I20150402000926
Provider NameNicholas D Ramey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679964514
PECOS PAC ID: 6709104532
Enrollment ID: I20150407002314
Provider NameStephanie N Doolin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750774386
PECOS PAC ID: 0446570287
Enrollment ID: I20150519002497
Provider NameKristina N Waggoner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861886715
PECOS PAC ID: 2567783525
Enrollment ID: I20150603001573
Provider NameDianne Endress
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528477015
PECOS PAC ID: 9638480965
Enrollment ID: I20150612001207
Provider NameJessica J Dour
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639561285
PECOS PAC ID: 3476867532
Enrollment ID: I20150803001279
Provider NameEric M Spenner
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1144609678
PECOS PAC ID: 2769798818
Enrollment ID: I20150903001514
Provider NameMary Katherine E Kenney
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1003299082
PECOS PAC ID: 7517276652
Enrollment ID: I20151012002208
Provider NameKellie E Bibb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699147215
PECOS PAC ID: 2264742360
Enrollment ID: I20151102001026
Provider NameKendra L Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780045526
PECOS PAC ID: 1355649419
Enrollment ID: I20160406001513
Provider NameRandi L Hope
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780045229
PECOS PAC ID: 0749588689
Enrollment ID: I20160411000747
Provider NameShahed M Shams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225478027
PECOS PAC ID: 0840592556
Enrollment ID: I20160601001653
Provider NameJustin J Couch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922451681
PECOS PAC ID: 0446546196
Enrollment ID: I20160907001680
Provider NameAshley P Macdonald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053750851
PECOS PAC ID: 6002035755
Enrollment ID: I20160927002190
Provider NameAbigail G Buoy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619230992
PECOS PAC ID: 3971741000
Enrollment ID: I20161010000517
Provider NameChloe E Keller
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1154879385
PECOS PAC ID: 7113215682
Enrollment ID: I20161017000712
Provider NameDavid D Pate
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1912453895
PECOS PAC ID: 8325336753
Enrollment ID: I20161018000448
Provider NameJennifer L Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891241329
PECOS PAC ID: 1052699279
Enrollment ID: I20161024000216
Provider NameSherry a Slifer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679944128
PECOS PAC ID: 3577864727
Enrollment ID: I20170215000555
Provider NameEmily a Wiezorek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609310960
PECOS PAC ID: 8022392711
Enrollment ID: I20170223002577
Provider NameJamie L Cross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427598903
PECOS PAC ID: 7517241607
Enrollment ID: I20170309001870
Provider NameKatie E Sloman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548700396
PECOS PAC ID: 4385929405
Enrollment ID: I20170331001557
Provider NameRebekah a Hovland
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285073080
PECOS PAC ID: 7113151879
Enrollment ID: I20170908001428
Provider NameLatoya L Bond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790219459
PECOS PAC ID: 3971879974
Enrollment ID: I20171018003106
Provider NameAmanda M Mavis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396269700
PECOS PAC ID: 3577839901
Enrollment ID: I20171030001890
Provider NameChristopher Doedtman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427568732
PECOS PAC ID: 4981960689
Enrollment ID: I20171130000538
Provider NameAllison M Trigg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255843272
PECOS PAC ID: 9638437460
Enrollment ID: I20171227000849
Provider NameAndrew W Messmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831614809
PECOS PAC ID: 3577822659
Enrollment ID: I20180117002719
Provider NameChristina a Skaar
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1720479405
PECOS PAC ID: 8628395142
Enrollment ID: I20180416001590
Provider NameNicole R Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275041097
PECOS PAC ID: 0143583658
Enrollment ID: I20180416002035
Provider NameKelli Ann Turner
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447646716
PECOS PAC ID: 9830452234
Enrollment ID: I20180418000351
Provider NameCarol J Lantz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114435559
PECOS PAC ID: 5496019168
Enrollment ID: I20180504000023
Provider NameChristina Rovey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336642867
PECOS PAC ID: 6305101841
Enrollment ID: I20180604000877
Provider NameNicole M Jack
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1083104137
PECOS PAC ID: 7810242195
Enrollment ID: I20180611002269
Provider NameConstance a Habenschuss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467939140
PECOS PAC ID: 5698024610
Enrollment ID: I20180823001535
Provider NameAmber E Sperry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780175778
PECOS PAC ID: 1759631658
Enrollment ID: I20180913000873
Provider NameEmily Jo Jennings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871070797
PECOS PAC ID: 3274885892
Enrollment ID: I20181010000791
Provider NameDhuha Maki Raab
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588057988
PECOS PAC ID: 4880948827
Enrollment ID: I20181112000405
Provider NameSherry L. Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508332453
PECOS PAC ID: 8426394925
Enrollment ID: I20190103001970
Provider NameKathryn E Carnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861965873
PECOS PAC ID: 9436491933
Enrollment ID: I20190502002728
Provider NameHaylie a Damhoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245897255
PECOS PAC ID: 8527394261
Enrollment ID: I20190801002517
Provider NameRichard Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215491915
PECOS PAC ID: 6800126491
Enrollment ID: I20190924003901
Provider NameKelsi N Earl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376195818
PECOS PAC ID: 1052641347
Enrollment ID: I20190930002403
Provider NameCarrie Mccormick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356903637
PECOS PAC ID: 6901137470
Enrollment ID: I20191015000180
Provider NameTheresa Diane Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215450812
PECOS PAC ID: 0143552984
Enrollment ID: I20191029001732
Provider NameChristine a Shaw
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1083270938
PECOS PAC ID: 6901138270
Enrollment ID: I20191106001494
Provider NameAbigail Lauren Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356806582
PECOS PAC ID: 5193150548
Enrollment ID: I20200114000917
Provider NameSydney J Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710527908
PECOS PAC ID: 8426485178
Enrollment ID: I20200219001755
Provider NameAmanda Leigh Ruyle-ryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295361533
PECOS PAC ID: 2668604208
Enrollment ID: I20200330003382
Provider NameElizabeth Ann Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669004081
PECOS PAC ID: 8820429384
Enrollment ID: I20200516000419
Provider NameAllison E Mayfield
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780099747
PECOS PAC ID: 7113211707
Enrollment ID: I20200603001100
Provider NameSarah Elizabeth Halsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609486802
PECOS PAC ID: 5193145373
Enrollment ID: I20201009002013
Provider NameNicole M Montes Corkery
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609306711
PECOS PAC ID: 9032480025
Enrollment ID: I20201110000098
Provider NameAlexandra L Huddleston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922609437
PECOS PAC ID: 9739591850
Enrollment ID: I20201215001035
Provider NameRachel E Westbrook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669072823
PECOS PAC ID: 8820403603
Enrollment ID: I20210209003078
Provider NameBecky S Lebar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316533177
PECOS PAC ID: 9436564960
Enrollment ID: I20210216001532
Provider NameDrake Gashkoff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558716274
PECOS PAC ID: 0042575409
Enrollment ID: I20210604001238
Provider NameMarlee Hager
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629646567
PECOS PAC ID: 8325442874
Enrollment ID: I20210805003421
Provider NameBree Schmulbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215415799
PECOS PAC ID: 8224433164
Enrollment ID: I20210816003268
Provider NameKable May
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1922623321
PECOS PAC ID: 0941606081
Enrollment ID: I20210915000722
Provider NameDelanie E Hinds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144995812
PECOS PAC ID: 1052718814
Enrollment ID: I20210921001541
Provider NameAnna Dowling
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1710501408
PECOS PAC ID: 1456749795
Enrollment ID: I20211019002525
Provider NameEmily a Krofchick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952927485
PECOS PAC ID: 4385033760
Enrollment ID: I20211105002661
Provider NameMarissa Paige Mahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215531264
PECOS PAC ID: 9133531650
Enrollment ID: I20211115000048
Provider NameKristin J Lawhorn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891459715
PECOS PAC ID: 8325439516
Enrollment ID: I20211223000214
Provider NameJennifer S Pemble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811248651
PECOS PAC ID: 3274783386
Enrollment ID: I20220218002338
Provider NameIvette Jaqueline Cortes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548913478
PECOS PAC ID: 3476948993
Enrollment ID: I20220321001276
Provider NameZachary R Humphress
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942809330
PECOS PAC ID: 5890181879
Enrollment ID: I20220330001870
Provider NameBrenda a Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831849579
PECOS PAC ID: 3577940949
Enrollment ID: I20220524003292
Provider NameMadelyn E Omalley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386203040
PECOS PAC ID: 6406180009
Enrollment ID: I20220727001267
Provider NameMichael Jonathan Russo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558822510
PECOS PAC ID: 5991187502
Enrollment ID: I20220728003467
Provider NameAnne M Meier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073263711
PECOS PAC ID: 9032591086
Enrollment ID: I20220808001251
Provider NamePhilip Brian Schoenrock
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1093207821
PECOS PAC ID: 7315294576
Enrollment ID: I20220809003468
Provider NameHasan Farid Hasan Othman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265091128
PECOS PAC ID: 9032592985
Enrollment ID: I20220810002244
Provider NamePatricia R Baumann
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407349152
PECOS PAC ID: 8426305046
Enrollment ID: I20220817003648
Provider NameSong Ok Kang
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1366927741
PECOS PAC ID: 4587083829
Enrollment ID: I20230105001409
Provider NameNicole M Beard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508569856
PECOS PAC ID: 4183081300
Enrollment ID: I20230602002429
Provider NameCatalina West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659071868
PECOS PAC ID: 8325405491
Enrollment ID: I20230605002197
Provider NameFroilan V Perucho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871286393
PECOS PAC ID: 1254793169
Enrollment ID: I20230809002073
Provider NameJames D Farrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265053417
PECOS PAC ID: 9830552686
Enrollment ID: I20230828002669
Provider NameEdwin R Mathews
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225657125
PECOS PAC ID: 0648694448
Enrollment ID: I20230830002147
Provider NameLindsey Reno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558144980
PECOS PAC ID: 3476907957
Enrollment ID: I20231003000507
Provider NameKevin S Londe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235691809
PECOS PAC ID: 1355677857
Enrollment ID: I20231009001376
Provider NameUmesh Chakunta
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1528252210
PECOS PAC ID: 1759538150
Enrollment ID: I20231010000363
Provider NameKari K Hullinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861018301
PECOS PAC ID: 7113373010
Enrollment ID: I20231030001203
Provider NameAriel M Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497534747
PECOS PAC ID: 9032568910
Enrollment ID: I20231218003220
Provider NameGabrielle R Dimarzio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033983481
PECOS PAC ID: 3173973252
Enrollment ID: I20240102002969
Provider NameBarbara a Appleman Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922566777
PECOS PAC ID: 9032451018
Enrollment ID: I20240105001932
Provider NameBrianne M Satorius
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1457774416
PECOS PAC ID: 9436500816
Enrollment ID: I20240110002147
Provider NameDerrick J Wolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528769130
PECOS PAC ID: 2860843281
Enrollment ID: I20240110003442
Provider NameDavid Joseph Edwards
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942396080
PECOS PAC ID: 4284086398
Enrollment ID: I20240113000283
Provider NameBriana L Venable
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1134753353
PECOS PAC ID: 3678917002
Enrollment ID: I20240214000322
Provider NameMisty M Buffenmeyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710501150
PECOS PAC ID: 4183069305
Enrollment ID: I20240228000294
Provider NameRebecca Kathleen Miller
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1669164596
PECOS PAC ID: 4688012024
Enrollment ID: I20240404002672
Provider NameLauren B Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245094986
PECOS PAC ID: 7214376292
Enrollment ID: I20240424000457
Provider NameMackenzie a Heywood
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1194352559
PECOS PAC ID: 4789003104
Enrollment ID: I20240521003337
Provider NameJo Marie Caga-anan Hewitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841786340
PECOS PAC ID: 9739431065
Enrollment ID: I20240522000364
Provider NameAyesha B Qadir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598175549
PECOS PAC ID: 8224394903
Enrollment ID: I20240531000870
Provider NameMackenzie Lemons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689428294
PECOS PAC ID: 0941749527
Enrollment ID: I20240827003054
Provider NameMark H Staff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225861941
PECOS PAC ID: 1254870314
Enrollment ID: I20240903003492
Provider NameAntonia J Genisio
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1245961606
PECOS PAC ID: 7618404930
Enrollment ID: I20241227002384
Provider NameDevhan M Vanmeter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952135170
PECOS PAC ID: 7517495591
Enrollment ID: I20250106000627
Provider NameKathryn D Viotto
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003477787
PECOS PAC ID: 0345620043
Enrollment ID: I20250421001712
Provider NameMolly Magovern Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326745241
PECOS PAC ID: 0042684227
Enrollment ID: I20250529003931
Provider NameMelissa S Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083596217
PECOS PAC ID: 5496263030
Enrollment ID: I20250805000263
Provider NameCourtney S Mehochko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114809258
PECOS PAC ID: 2860991643
Enrollment ID: I20250819001059
Provider NameLogan Renee Grubb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558092924
PECOS PAC ID: 9133500614
Enrollment ID: I20250905001701
Provider NameAbigail Buckholz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851912455
PECOS PAC ID: 1153745724
Enrollment ID: I20251008003646
Provider NameKatheryn E Coers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972373041
PECOS PAC ID: 6305343856
Enrollment ID: I20251009002494
Provider NameDenise L Skinner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093203093
PECOS PAC ID: 1052809787
Enrollment ID: I20251023002409
Provider NameKacie Rae Adcock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134791270
PECOS PAC ID: 9830547306
Enrollment ID: I20251030000993
Provider NameRachel Hodo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487425500
PECOS PAC ID: 7315429743
Enrollment ID: I20260305000209

Reviews and Comments

Other Mental Health Clinics in Springfield, IL

Gray Therapy Group, PLLC
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Chatham Rd Ste N, Springfield, IL 62704
Phone: 847-834-9189    
Comprehensive Psychological & Health Association PLLC
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Chatham Road, #5714, Springfield, IL 62704
Phone: 954-686-2020    Fax: 954-604-6506
Resilience Aba LLC
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6405 Mcintosh Ct, Springfield, IL 62711
Phone: 618-967-8859    
Balm Wellness LLC
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Chatham Rd Ste 5848, Springfield, IL 62704
Phone: 386-334-2161    
Lighthouse Counseling Solutions, PLLC
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Chatham Rd Ste 8089, Springfield, IL 62704
Phone: 847-316-0325    
Mizani Therapeutic Services, LLC
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Chatham Rd # 5051, Springfield, IL 62704
Phone: 773-916-6513    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.