Individual provider Active NPI

Abby Lynne Wright, AU.D.

  • Audiologist
  • Springfield, IL
National Provider Identifier
1124346663
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001254 Issued in IL
Practice address
4000 Westgate Drive
Springfield, IL 62711-7066
Phone
(217) 726-6101
Fax
(217) 726-6103
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001254 IL Primary

Addresses

Primary practice location

4000 Westgate Drive
Springfield, IL 62711-7066

Mailing address

4000 Westgate Drive
Springfield, IL 62711-7066
Phone (217) 726-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417000095 IL Practitioner - Qualified Audiologist 8123369303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Illinois Hearing and Speech LTD.Group PAC ID 5698818037, 3 clinicians
Central Illinois Audiology LTDGroup PAC ID 8729563564, 2 clinicians

Practice addresses (Care Compare)

4000 Westgate Dr
Springfield, IL 62711-7434
Phone (217) 726-6101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince May 1, 2019 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Central Illinois Audiology LTD Audiologist CurrentSince Apr 1, 2026 Accepting new patients
Central Illinois Hearing & Speech LTD Audiologist CurrentSince May 1, 2023 Accepting new patients

Locations

1515 W Walnut St
Ste 4
Jacksonville, IL 62650
Phone (217) 243-1101

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1000 Health Center Dr
Ste 107
Mattoon, IL 61938
Phone (217) 238-4960

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

4000 Westgate Dr
Springfield, IL 62711
Phone (217) 726-6101

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1124346663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WESTGATE DRIVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117066",
            "telephone_number": "217-726-6101",
            "fax_number": "217-726-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WESTGATE DRIVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117066",
            "telephone_number": "217-726-6101",
            "fax_number": "217-726-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ABBY",
        "middle_name": "LYNNE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001254",
            "primary": true
        }
    ],
    "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 May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.