Lauren B Hull, APRN
Individual provider Active NPI Family Nurse Practitioner · Jacksonville, IL
NPI 1245094986 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1245094986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209029262 (IL)
- Practice address
- 901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021 - Phone
- (217) 588-6140
- Fax
- (217) 588-3043
- NPI assigned
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Physician Services
Practice addresses (Care Compare)
901 W Morton Ave
Suite 22
Jacksonville, IL 62650-4021
Phone (217) 588-2640
Hospital & facility affiliations
- Memorial Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240424000457 | IL | Practitioner - Nurse Practitioner | 7214376292 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209029262 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Physician Services | Current |
Accepting new patients | |
| Memorial Physician Services | Current | Accepting new patients | |
| Memorial Physician Services | Current |
Accepting new patients | |
| Family Medical Center of Chatham, LLC | Current | Accepting new patients | |
| Memorial Expresscare, LLC | Past | Accepting new patients |
Locations
101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487
4455 E US Route 36
Decatur, IL 62521
Phone (217) 876-5320
901 W Morton Ave
Ste 22
Jacksonville, IL 62650
Phone (217) 588-6140
3132 Old Jacksonville Rd
Ste 110
Springfield, IL 62704
Phone (217) 588-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209029262 | IL | Yes |
Addresses
Primary practice location
901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Mailing address
901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Phone (217) 588-6140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041496101 | Other | IL | RN LICENSE |
Other providers in Jacksonville, IL
- Alexander M Hrynewych
- HSHS Medical Group Inc
- Annette E Huddleston
- Shane Gregory Hudson
- Michael Trevor Huffman
- Kari Kristine Hullinger
- Zachary Humphress
- Hy-Vee Inc
- Illinois School for the Visually Impaired
- Illinois Schoold for the Deaf
All providers in Jacksonville, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.