Individual provider Active NPI

Tara Suzanne Hilmes, NP

  • Nurse Practitioner
  • Maryville, IL
National Provider Identifier
1275064768
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209017451 Issued in IL
Practice address
6800 State Route 162
Maryville, IL 62062
Phone
(618) 288-5711
NPI assigned
Mar 25, 2017
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209017451 IL Primary

Addresses

Primary practice location

6800 State Route 162
Maryville, IL 62062

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

17 Ginger Creek Mdws
Glen Carbon, IL 62034-3508
Phone (618) 656-9777

Other practice location 2

1103 Belt Line Rd
Collinsville, IL 62234-4368
Phone (618) 344-2273

Other practice location 3

108 W US Highway 40
Troy, IL 62294-1836
Phone (618) 667-1800

Other practice location 4

159 E McArthur Dr
Bethalto, IL 62010-1918
Phone (618) 258-7504

Other practice location 5

201 Health Care Dr
Greenville, IL 62246-1155
Phone (618) 664-1380

Other practice location 6

255 Hickory Rd
Pocahontas, IL 62275-3232
Phone (618) 980-4024

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thilmes302955@ewd.direct.hshs.org Direct

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
I20180430001593 IL Practitioner - Nurse Practitioner 1951665827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

1103 Belt Line Rd
Collinsville, IL 62234-4368
Phone (618) 344-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Holy Family Hospital Inc CurrentSince Mar 22, 2021 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Mar 22, 2021 Accepting new patients
Anderson Medical Group, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380

1103 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-2273

3417 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-4929

17 Ginger Creek Mdws
Glen Carbon, IL 62034
Phone (618) 656-9777

101 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0314

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

201 Health Care Dr
Greenville, IL 62246
Phone (618) 664-1380

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

6810 State Route 162
Ste 205
Maryville, IL 62062
Phone (618) 288-2120

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

108 W US Highway 40
Troy, IL 62294
Phone (618) 391-5065

Interoperability endpoints

  • Direct secure messaging: thilmes302955@ewd.direct.hshs.org

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.

Hospital & facility affiliations 1

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1275064768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Ginger Creek Mdws",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620343508",
            "country_code": "US",
            "telephone_number": "618-656-9777",
            "fax_number": "618-656-1249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622344368",
            "country_code": "US",
            "telephone_number": "618-344-2273",
            "fax_number": "618-344-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W US Highway 40",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "IL",
            "postal_code": "622941836",
            "country_code": "US",
            "telephone_number": "618-667-1800",
            "fax_number": "618-667-1802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 E McArthur Dr",
            "address_purpose": "LOCATION",
            "city": "Bethalto",
            "state": "IL",
            "postal_code": "620101918",
            "country_code": "US",
            "telephone_number": "618-258-7504",
            "fax_number": "618-258-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "IL",
            "postal_code": "622461155",
            "country_code": "US",
            "telephone_number": "618-664-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Hickory Rd",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "IL",
            "postal_code": "622753232",
            "country_code": "US",
            "telephone_number": "618-980-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILMES",
        "first_name": "TARA",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thilmes302955@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "201 Health Care Dr",
            "city": "Greenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622461155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.