Individual provider Active NPI

Ashley R Talkington, APN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlinville, IL
National Provider Identifier
1043760416
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.002039 Issued in IL
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

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
376001351007MedicaidIL
376001351008MedicaidIL

Other names 1

  • Ashley R Konneker Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 25 clinicians

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

LicenseStateTypeSpecialty
041.399236ILMDAmbulatory Care Registered Nurse
209.015348ILMDNurse Practitioner
277.002039ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 1, 2023 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

  • Direct secure messaging: ashleytalkington@cah.allscriptsdirect.net
  • Direct secure messaging: ashley.konneker.p30@direct.fhn-fqhc.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.