Individual provider Active NPI

Lindsey Sollers

  • Nurse Practitioner
  • Marion, IL
National Provider Identifier
1124797535
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209023818 Issued in IL
Practice address
3411 Professional Park Dr
Marion, IL 62959-6394
Phone
(618) 997-2161
Fax
(618) 997-2420
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023818 IL
Nurse Practitioner 363L00000X 209023818 IL Primary

Addresses

Primary practice location

3411 Professional Park Dr
Marion, IL 62959-6394

Mailing address

11740 Isabella CT
Marion, IL 62959-8077
Phone (618) 694-7744

Other identifiers 1

IdentifierTypeStateIssuer
205051452OtherTAX ID FOR SIMCA FAMILY PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL AthenaNet Health Information Exchange (HIE)

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
I20210924000642 IL Practitioner - Nurse Practitioner 9032516646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Illinois Clinic IncGroup PAC ID 5092187021, 19 clinicians

Practice addresses (Care Compare)

3329 W Deyoung St
Marion, IL 62959-5884
Phone (618) 997-2161

Hospital & facility affiliations

  • Residential Home Health of Southern Illinois, LLC Home health agency, Marion, IL, CCN 147112
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Franklin Hospital Hospital, Benton, IL, CCN 141321

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
70.69
Promoting interoperability
99
Improvement activities
40
Cost
71.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209023818ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Clinic, Inc Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner Current Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner Past Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner Past Accepting new patients
Heartland Rural Healthcare, LLC Past Accepting new patients

Locations

205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189

700 Logan College Dr
#J
Carterville, IL 62918
Phone (618) 926-6698

1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010

3329 W Deyoung St
Marion, IL 62959
Phone (618) 985-8007

3411 Professional Park Dr
Marion, IL 62959
Phone (618) 969-8630

2703 17th St
Marion, IL 62959

Interoperability endpoints

  • Direct secure messaging: lsollers421441@direct.deaconess.com
  • Direct secure messaging: lindsey.sollers.1@27782.direct.athenahealth.com

Organizations & group practices 6

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 7

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1124797535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 ISABELLA CT",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629598077",
            "telephone_number": "618-694-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 PROFESSIONAL PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596394",
            "telephone_number": "618-997-2161",
            "fax_number": "618-997-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLERS",
        "first_name": "LINDSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023818",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209023818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID FOR SIMCA FAMILY PRACTICE",
            "identifier": "205051452",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "AthenaNet",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3411 Professional Park Dr",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629596394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.