Active NPI
Ashley R Talkington, APN-BC
- Psychiatric/Mental Health Nurse Practitioner
- Carlinville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 277.002039
- Practice address
- 20613 N Broad St
Carlinville, IL 62626-3720 - Phone
- (217) 854-3881
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 041.399236 | IL | |
| Nurse Practitioner | 363L00000X | 209.015348 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277.002039 | IL | Primary |
Addresses
Primary practice location
20613 N Broad St
Carlinville, IL 62626-3720
Mailing address
21552 Knoll Rd
Carlinville, IL 62626-3671
Phone (217) 854-3881
Other practice location 1
805 N Broad St
Carlinville, IL 62626-1075
Phone (217) 854-3223
Other practice location 2
101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 588-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376001351007 | Medicaid | IL | |
| 376001351008 | Medicaid | IL |
Other names 1
- Ashley R Konneker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170208002974 | IL | Practitioner - Nurse Practitioner | 1355624735 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carlinville Area Hospital Association
Practice addresses (Care Compare)
20613 N Broad St
Suite B
Carlinville, IL 62626-3721
Phone (217) 854-3881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.399236 | IL | MD | Ambulatory Care Registered Nurse |
| 209.015348 | IL | MD | Nurse Practitioner |
| 277.002039 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients |
Locations
20613 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
205 Oakland Ave
Carlinville, IL 62626
Phone (217) 839-7820
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479
Interoperability endpoints
- ashleytalkington@cah.allscriptsdirect.net
- ashley.konneker.p30@direct.fhn-fqhc.nextgenshare.com
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Virden, IL
- NPI 1447691571
-
- Rural Health Clinic/Center
- Carlinville, IL
- NPI 1992020499
-
- Medicare Defined Swing Bed Hospital Unit
- Carlinville, IL
- NPI 1275609109
-
- Rural Health Clinic/Center
- Gillespie, IL
- NPI 1295518769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1043760416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21552 KNOLL RD",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626263671",
"telephone_number": "217-854-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20613 N BROAD ST",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626263720",
"telephone_number": "217-854-3881"
}
],
"practiceLocations": [
{
"address_1": "805 N Broad St",
"address_purpose": "LOCATION",
"city": "Carlinville",
"state": "IL",
"postal_code": "626261075",
"country_code": "US",
"telephone_number": "217-854-3223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E Plummer Blvd",
"address_purpose": "LOCATION",
"city": "Chatham",
"state": "IL",
"postal_code": "626298047",
"country_code": "US",
"telephone_number": "217-588-2600",
"fax_number": "217-483-8150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALKINGTON",
"first_name": "ASHLEY",
"middle_name": "R",
"credential": "APN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "IL",
"license": "041.399236",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.015348",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "277.002039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376001351007",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376001351008",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "KONNEKER",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carlinville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.