Active NPI
Aubrey Lynn Ferris Parnell
- Nurse Practitioner
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209024393
- Practice address
- 315 W Carpenter St FL 1
Springfield, IL 62702-4901 - Phone
- (217) 545-8000
- NPI assigned
- Jun 21, 2020
- Last updated
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209024393 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
315 W Carpenter St FL 1
Springfield, IL 62702-4901
Mailing address
201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000
Other practice location 1
1 Hairpin Drive
Edwardsville, IL 62026-0001
Phone (618) 650-3969
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients |
Locations
201 E Madison St
Ste 328
Springfield, IL 62702
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
315 W Carpenter St
Springfield, IL 62702
Phone (217) 545-5817
315 W Carpenter St
Fl 1
Springfield, IL 62702
Organizations & group practices 2
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.
-
dba SIU HealthCare
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- Springfield, IL
- NPI 1558385989
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1093331530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MADISON ST STE 328",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025131",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W CARPENTER ST FL 1",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024901",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [
{
"address_1": "1 Hairpin Drive",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "IL",
"postal_code": "620260001",
"country_code": "US",
"telephone_number": "618-650-3969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARNELL",
"first_name": "AUBREY",
"middle_name": "LYNN FERRIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-21",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209024393",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.