Individual provider Active NPI

Michelle Christine Bollinger, NP-C

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1255813218
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017945 Issued in IL
Practice address
400 N 9TH St FL 3
Springfield, IL 62702-5310
Phone
(217) 545-8000
Fax
(217) 545-9759
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.017945 IL Primary
Nurse Practitioner 363L00000X 209.017945 IL
Pediatric Nurse Practitioner 363LP0200X 209-017945 IL

Addresses

Primary practice location

400 N 9TH St FL 3
Springfield, IL 62702-5310

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

30422 Middletown Blacktop Ave
Middletown, IL 62666-9510
Phone (217) 652-9743

Other practice location 2

400 N 9th St, 4th fL, Clinic C
Springfield, IL 62702
Phone (217) 545-8000

Other practice location 3

415 N 9th St Ste 4W16
Springfield, IL 62702-5303
Phone (217) 545-8000

Other practice location 4

2 Memorial Dr
Decatur, IL 62526-3950
Phone (217) 872-2943

Other names 1

  • Michelle Christine Janssen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michellebollinger@siusm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.017945ILMDFamily Nurse Practitioner
209-017945ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Siu Physicians & Surgeons, Inc PastSince Feb 4, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1255813218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000",
            "fax_number": "844-470-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 9TH ST FL 3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025310",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-9759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30422 Middletown Blacktop Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "IL",
            "postal_code": "626669510",
            "country_code": "US",
            "telephone_number": "217-652-9743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 9th St, 4th fL, Clinic C",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "62702",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-3926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 9th St Ste 4W16",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627025303",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-757-6654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625263950",
            "country_code": "US",
            "telephone_number": "217-872-2943",
            "fax_number": "217-876-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017945",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017945",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209-017945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michellebollinger@siusm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "415 N 9th St Ste 4W16",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627025303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JANSSEN",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.