Individual provider Active NPI

Emily S. Boyajian, APN

  • Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1073943890
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209010939 Issued in IL
Practice address
900 W. Temple Ave.
Building B - Suite 2500
Effingham, IL 62401
Phone
(217) 347-2255
Fax
(217) 342-6910
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 209010939 IL Primary

Addresses

Primary practice location

900 W. Temple Ave.
Building B - Suite 2500
Effingham, IL 62401

Mailing address

900 W. Temple Ave.
Building B - Suite 2500
Effingham, IL 62401
Phone (217) 347-2255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eboyajian227297@ewd.direct.hshs.org Direct

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
I20140122000136 IL Practitioner - Nurse Practitioner 5193953107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

900 W Temple Ave
Effingham, IL 62401-2121
Phone (217) 540-2350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
HSHS Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

904 Medical Park Dr
Ste 2
Effingham, IL 62401
Phone (217) 347-2255

900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-1690

900 W Temple Ave
Ste 2500
Effingham, IL 62401
Phone (217) 347-2255

900 W Temple Ave
Effingham, IL 62401
Phone (217) 347-5525

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

Interoperability endpoints

  • Direct secure messaging: eboyajian227297@ewd.direct.hshs.org

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 2

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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1073943890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W. TEMPLE AVE.",
            "address_2": "BUILDING B - SUITE 2500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-347-2255",
            "fax_number": "217-342-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W. TEMPLE AVE.",
            "address_2": "BUILDING B - SUITE 2500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-347-2255",
            "fax_number": "217-342-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAJIAN",
        "first_name": "EMILY",
        "middle_name": "S.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209010939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eboyajian227297@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 W. Temple Ave.",
            "address_2": "Building B - Suite 2500",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.