NPIMap

Alicia Anne Reis, APRN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Quincy, IL

NPI 1083296396 · NPPES record last updated Apr 26, 2021

Key facts

NPI
1083296396
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
209.023066 (IL)
Practice address
927 Broadway St Ste 300
Quincy, IL 62301-2728
Phone
(217) 223-1200
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 25

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing Hospital (414 clinicians)

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

  • Blessing Hospital Hospital · Quincy, IL · CCN 140015
  • Illini Community Hospital Hospital · Pittsfield, IL · CCN 141315
  • Southeast Iowa Regional Medical Center Hospital · West Burlington, IA · CCN 160057
  • Memorial Hospital Hospital · Carthage, IL · CCN 141305
  • Hannibal Regional Hospital Hospital · Hannibal, MO · CCN 260025

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210526003149 IL Practitioner - Nurse Practitioner 7618376450 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
209.023066ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital Current Accepting new patients
Blessing Hospital Current
since Jun 1, 2021		 Accepting new patients
Blessing Hospital Current
since Jun 1, 2021		 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital Current Accepting new patients
Blessing Hospital Past Accepting new patients
Blessing Corporate Services Inc Past Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

927 Broadway St
Ste 300
Quincy, IL 62301
Phone (217) 214-6230

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • Direct secure messaging: aliciareis@blessing.allscriptsdirect.net
  • Direct secure messaging: aliciareis@bcs.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.023066 IL Yes

Addresses

Primary practice location

927 Broadway St Ste 300
Quincy, IL 62301-2728

Mailing address

1382 N 1403Rd LN
Fowler, IL 62338-2118
Phone (217) 430-9753

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2021.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1083296396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 N 1403RD LN",
            "city": "FOWLER",
            "state": "IL",
            "postal_code": "623382118",
            "telephone_number": "217-430-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 300",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012728",
            "telephone_number": "217-223-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "ALICIA",
        "middle_name": "ANNE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.023066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

All providers in Quincy, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.