Individual provider Active NPI

Ann Louise Zahniser, APN

  • Family Nurse Practitioner
  • Carlinville, IL
National Provider Identifier
1124428453
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.011399 Issued in IL
Practice address
1115 Morgan St
#2
Carlinville, IL 62626-1430
Phone
(217) 854-3881
NPI assigned
Aug 22, 2014
Last updated
Aug 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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 209.011399 IL Primary

Addresses

Primary practice location

1115 Morgan St
#2
Carlinville, IL 62626-1430

Mailing address

1115 Morgan St
#2
Carlinville, IL 62626-1430
Phone (217) 854-3881

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
I20141020001776 IL Practitioner - Nurse Practitioner 5698996478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.011399ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Family Medicine, LLC CurrentSince Apr 1, 2022 Accepting new patients
Greenville Family Medicine, LLC CurrentSince Apr 1, 2022 Accepting new patients
Carlinville Area Hospital Association Past Accepting new patients

Locations

1000 Red Ball Trl
Greenville, IL 62246
Phone (618) 391-6495

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECDGDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1124428453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MORGAN ST",
            "address_2": "#2",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261430",
            "telephone_number": "217-854-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MORGAN ST",
            "address_2": "#2",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261430",
            "telephone_number": "217-854-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHNISER",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

Verify at the official NPI Registry.