Individual provider Active NPI

Peggy Boyd, NP

  • Nurse Practitioner
  • Marion, IL
National Provider Identifier
1053531541
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-006244 Issued in IL
Practice address
2808 East Outer Drive
Marion, IL 62959
Phone
(618) 993-3817
Fax
(618) 993-3908
NPI assigned
Apr 26, 2007
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-006244 IL Primary

Addresses

Primary practice location

2808 East Outer Drive
Marion, IL 62959

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300

Other practice location 2

901 S Commercial St
Harrisburg, IL 62946-2640
Phone (618) 993-3817

Other practice location 3

502 W Saint Louis St Ste 4
West Frankfort, IL 62896-1968
Phone (618) 937-3400

Other practice location 4

2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361

Other names 1

  • Peggy Nevious Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address pboyd85829@sih.direct-ci.com
Direct Messaging Address pboyd85829@sih.direct-ci.com
Direct Messaging Address pboyd85829@sih.direct-ci.com
Direct Messaging Address pboyd85829@sih.direct-ci.com
Direct Messaging Address pboyd85829@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071009000861 IL Practitioner - Nurse Practitioner 2466548276 Reassigns benefits to 2 organizations
I20240129001034 FL Practitioner - Nurse Practitioner 2466548276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2808 E Outer Dr
Marion, IL 62959-5207
Phone (618) 993-3817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-006244ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince Jun 19, 2017 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Jun 19, 2017 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Oct 7, 2025 Accepting new patients
Vizavee Urgent & Primary Care, LLC CurrentSince Jan 1, 2024 Accepting new patients
Southern Illinois Hospital Services PastSince Sep 28, 2025 Accepting new patients
Marion Emergency Physicians, LLC Past Accepting new patients
Southern Illinois Medical Care Associates LLC Nurse Practitioner Past Accepting new patients
Mary Lee & Associates Limited Past Accepting new patients
Craig W. Furry Past Accepting new patients

Locations

4669 E State Road 44
Ste 101
Wildwood, FL 34785
Phone (352) 399-7301

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

16906 Collection Ctr Dr
Chicago, IL 60693

901 S Commercial St
Harrisburg, IL 62946
Phone (618) 252-0411

405 Rushing Dr
Herrin, IL 62948
Phone (618) 993-3300

2808 Outer Dr
Marion, IL 62959
Phone (618) 993-3817

3003 Civic Circle Blvd
Ste 200
Marion, IL 62959
Phone (618) 993-1400

3331 W Deyoung St
Ste 106
Marion, IL 62959
Phone (618) 998-9910

5100 Lake Ter NE
Mount Vernon, IL 62864
Phone (618) 244-8793

502 W Saint Louis St
Ste 4
West Frankfort, IL 62896
Phone (618) 937-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pboyd85829@sih.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1053531541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200",
            "fax_number": "618-351-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 EAST OUTER DRIVE",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-3817",
            "fax_number": "618-993-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Rushing Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483730",
            "country_code": "US",
            "telephone_number": "618-993-3300",
            "fax_number": "618-993-0262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 S Commercial St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629462640",
            "country_code": "US",
            "telephone_number": "618-993-3817",
            "fax_number": "618-993-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W Saint Louis St Ste 4",
            "address_purpose": "LOCATION",
            "city": "West Frankfort",
            "state": "IL",
            "postal_code": "628961968",
            "country_code": "US",
            "telephone_number": "618-937-3400",
            "fax_number": "618-932-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-549-5361",
            "fax_number": "618-351-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "PEGGY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-006244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pboyd85829@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 Rushing Dr",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pboyd85829@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2808 East Outer Drive",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pboyd85829@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "901 S Commercial St",
            "city": "Harrisburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629462640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pboyd85829@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "502 W Saint Louis St Ste 4",
            "city": "West Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628961968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pboyd85829@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "NEVIOUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.