Individual provider Active NPI

Alexis Wernsman, APN

  • Family Nurse Practitioner
  • Centralia, IL
National Provider Identifier
1073147237
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020907 Issued in IL
Practice address
1052 ML King Drive, Suite 2
Centralia, IL 62801-3002
Phone
(618) 436-5410
Fax
(618) 436-8063
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020907 IL Primary

Addresses

Primary practice location

1052 ML King Drive, Suite 2
Centralia, IL 62801-3002

Mailing address

PO Box 25228
Decatur, IL 62525-5228
Phone (217) 329-3232

Other practice location 1

9515 Holy Cross Lane, Suite 6
Breese, IL 62230-3618
Phone (618) 416-7970

Other practice location 2

213 N.W. 10th Street, Suite D
Fairfield, IL 62837-1219
Phone (618) 436-5410

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
I20200721001053 IL Practitioner - Nurse Practitioner 0547684896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

1052 M L King Dr
Suite 2
Centralia, IL 62801-3002
Phone (618) 436-5410

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Salem Township Hospital Hospital, Salem, IL, CCN 141345
  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311
  • Washington County Hospital Hospital, Nashville, IL, CCN 141308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209020907ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jul 30, 2020 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Nov 24, 2024 Accepting new patients
Center for Gastrointestinal Health, SC CurrentSince Jun 8, 2020 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C. CurrentSince Nov 24, 2024 Accepting new patients

Locations

9515 Holy Cross Ln
Ste 6
Breese, IL 62230
Phone (618) 416-7970

1052 M L King Dr
Ste 2
Centralia, IL 62801
Phone (618) 436-5410

210 W McKinley Ave
Ste 1
Decatur, IL 62526
Phone (217) 876-6600

210 W McKinley Ave
#1
Decatur, IL 62526
Phone (217) 877-9442

213 NW 10th St
Ste D
Fairfield, IL 62837
Phone (217) 329-3232

5023 N Illinois St
Fairview Hts, IL 62208
Phone (618) 239-0678

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: awernsman125817@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1073147237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25228",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625255228",
            "telephone_number": "217-329-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 ML KING DRIVE, SUITE 2",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013002",
            "telephone_number": "618-436-5410",
            "fax_number": "618-436-8063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9515 Holy Cross Lane, Suite 6",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303618",
            "country_code": "US",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 N.W. 10th Street, Suite D",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IL",
            "postal_code": "628371219",
            "country_code": "US",
            "telephone_number": "618-436-5410",
            "fax_number": "618-436-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNSMAN",
        "first_name": "ALEXIS",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

Verify at the official NPI Registry.